Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.28 / $69.29 / $231.74	Facility		$63.28	$69.29	$231.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.28 / $69.29 / $76.62	Professional		$63.28	$69.29	$76.62
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $63.28 / $69.29 / $231.74	Facility		$63.28	$69.29	$231.74
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $63.28 / $69.29 / $69.29	Professional		$63.28	$69.29	$69.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00