Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.80 / $28.80 / $28.80	Facility		$28.80	$28.80	$28.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.80 / $28.80 / $28.80	Professional		$28.80	$28.80	$28.80
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $28.80 / $31.80 / $36.00	Facility		$28.80	$31.80	$36.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $28.80 / $31.80 / $38.15	Professional		$28.80	$31.80	$38.15