Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,768.95 / $3,768.95 / $3,768.95	Facility		$3,768.95	$3,768.95	$3,768.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,768.95 / $3,768.95 / $3,768.95	Professional		$3,768.95	$3,768.95	$3,768.95
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3,768.95 / $3,768.95 / $3,768.95	Facility		$3,768.95	$3,768.95	$3,768.95
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3,768.95 / $3,768.95 / $3,768.95	Professional		$3,768.95	$3,768.95	$3,768.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.00 / $75.00	Professional		$30.00	$50.00	$75.00