Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,040.00 / $1,040.00 / $1,040.00	Facility		$1,040.00	$1,040.00	$1,040.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $380.00 / $1,040.00 / $2,457.58	Facility		$380.00	$1,040.00	$2,457.58