Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,933.00 / $4,933.00 / $5,757.00	Facility		$4,933.00	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16,536.72 / $16,536.72 / $20,094.00	Professional		$16,536.72	$16,536.72	$20,094.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $4,933.00 / $5,757.00 / $6,906.00	Facility		$4,933.00	$5,757.00	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $11,951.00 / $15,541.00 / $23,311.00	Professional		$11,951.00	$15,541.00	$23,311.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,635.00 / $10,192.00 / $12,767.00	Facility		$4,635.00	$10,192.00	$12,767.00