Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.91 / $138.91 / $138.91	Facility		$138.91	$138.91	$138.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.91 / $138.91 / $138.91	Professional		$138.91	$138.91	$138.91
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $138.91 / $138.91 / $138.91	Facility		$138.91	$138.91	$138.91
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $138.91 / $138.91 / $138.91	Professional		$138.91	$138.91	$138.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00