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 $15,154.57 / $15,154.57 / $18,415.00	Professional		$15,154.57	$15,154.57	$18,415.00
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 $10,952.00 / $14,242.00 / $21,363.00	Professional		$10,952.00	$14,242.00	$21,363.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $100.00	Professional		$30.00	$30.00	$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