Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.12 / $51.12 / $51.12	Facility		$51.12	$51.12	$51.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.81 / $51.12 / $604.41	Professional		$49.81	$51.12	$604.41
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $51.12 / $51.12 / $51.12	Facility		$51.12	$51.12	$51.12
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $51.12 / $51.12 / $51.12	Professional		$51.12	$51.12	$51.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $100.00	Professional		$30.00	$30.00	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $55.50 / $55.50 / $55.50	Facility		$55.50	$55.50	$55.50