Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.14 / $65.14 / $65.14	Facility		$65.14	$65.14	$65.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.14 / $65.14 / $65.14	Professional		$65.14	$65.14	$65.14
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $65.14 / $71.92 / $81.42	Facility		$65.14	$71.92	$81.42
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $65.14 / $71.92 / $86.30	Professional		$65.14	$71.92	$86.30