Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,120.10 / $5,120.10 / $5,120.10	Professional		$5,120.10	$5,120.10	$5,120.10
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $4,718.00 / $5,120.10 / $5,120.10	Professional		$4,718.00	$5,120.10	$5,120.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $55.00 / $100.00	Professional		$30.00	$55.00	$100.00