Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.31 / $9.31 / $9.31	Facility		$9.31	$9.31	$9.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.90 / $20.90 / $20.90	Professional		$20.90	$20.90	$20.90
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $6.14 / $6.14 / $9.31	Facility		$6.14	$6.14	$9.31
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2.84 / $20.90 / $20.90	Professional		$2.84	$20.90	$20.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $1,500.00	Professional		$30.00	$30.00	$1,500.00