Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $615.70 / $4,933.00 / $4,933.00	Facility		$615.70	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.91 / $615.70 / $1,398.55	Professional		$139.91	$615.70	$1,398.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $188.33 / $188.33 / $282.52	Facility		$188.33	$188.33	$282.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $176.58 / $296.66	Professional		$49.95	$176.58	$296.66
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $615.70 / $4,933.00 / $6,228.76	Facility		$615.70	$4,933.00	$6,228.76
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $531.72 / $6,228.76 / $6,976.21	Professional		$531.72	$6,228.76	$6,976.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,906.00 / $4,645.00 / $6,740.00	Facility		$1,906.00	$4,645.00	$6,740.00
United Facility/Professional Professional Modifier Low / Median / High Price $591.35 / $1,075.26 / $9,620.18	Professional		$591.35	$1,075.26	$9,620.18