Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Facility		$25.12	$25.12	$25.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $47.86 / $97.72	Professional		$25.12	$47.86	$97.72
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Facility		$25.12	$25.12	$25.12
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $40.74 / $91.20	Professional		$25.12	$40.74	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $83.18 / $97.72	Professional		$74.13	$83.18	$97.72