Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.80 / $76.80 / $76.80	Facility		$76.80	$76.80	$76.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.80 / $76.80 / $76.80	Professional		$76.80	$76.80	$76.80
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $76.80 / $84.80 / $96.00	Facility		$76.80	$84.80	$96.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $76.80 / $84.80 / $101.76	Professional		$76.80	$84.80	$101.76