Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $120.23 / $123.03	Professional		$114.82	$120.23	$123.03
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $144.54 / $389.05	Facility		$131.83	$144.54	$389.05
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $144.54 / $194.98	Professional		$114.82	$144.54	$194.98