Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.73 / $27.73 / $27.73	Facility		$27.73	$27.73	$27.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.73 / $27.73 / $35.92	Professional		$27.73	$27.73	$35.92
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $27.73 / $27.73 / $27.73	Facility		$27.73	$27.73	$27.73
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $27.73 / $27.73 / $32.04	Professional		$27.73	$27.73	$32.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $100.00	Professional		$30.00	$30.00	$100.00