Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.00 / $44.00 / $44.00	Facility		$44.00	$44.00	$44.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $44.00 / $44.00	Professional		$44.00	$44.00	$44.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $44.00 / $48.58 / $55.00	Facility		$44.00	$48.58	$55.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $48.58 / $58.29	Professional		$44.00	$48.58	$58.29