Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.00 / $218.00 / $218.00	Facility		$218.00	$218.00	$218.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.00 / $218.00 / $218.00	Professional		$218.00	$218.00	$218.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $218.00 / $218.00 / $218.00	Professional		$218.00	$218.00	$218.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00