Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.11 / $15.11 / $15.11	Facility		$15.11	$15.11	$15.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.79 / $15.07 / $15.97	Professional		$10.79	$15.07	$15.97
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $15.11 / $15.11 / $15.11	Facility		$15.11	$15.11	$15.11
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $10.80 / $15.11 / $19.94	Professional		$10.80	$15.11	$19.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.20 / $28.80 / $55.00	Professional		$19.20	$28.80	$55.00
United Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $29.00 / $34.00	Professional		$14.00	$29.00	$34.00