Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.56 / $4,933.00 / $4,933.00	Facility		$346.56	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.20 / $346.56 / $390.46	Professional		$215.20	$346.56	$390.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.00 / $72.00 / $4,550.57	Facility		$63.00	$72.00	$4,550.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $515.73 / $4,095.51 / $5,233.16	Professional		$515.73	$4,095.51	$5,233.16
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $287.18 / $346.56 / $4,933.00	Facility		$287.18	$346.56	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $287.18 / $346.56 / $980.35	Professional		$287.18	$346.56	$980.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $7,780.00 / $9,202.00	Facility		$2,500.00	$7,780.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $265.52 / $345.35 / $520.99	Professional		$265.52	$345.35	$520.99