Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.47 / $4,933.00 / $4,933.00	Facility		$97.47	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.29 / $97.47 / $104.40	Professional		$53.29	$97.47	$104.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.09 / $256.68 / $602.78	Facility		$190.09	$256.68	$602.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.51 / $70.77 / $155.69	Professional		$12.51	$70.77	$155.69
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $97.47 / $99.03 / $4,933.00	Facility		$97.47	$99.03	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $97.47 / $99.03 / $123.78	Professional		$97.47	$99.03	$123.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $63.84 / $87.06	Professional		$30.00	$63.84	$87.06
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,418.00 / $2,029.00	Facility		$300.00	$1,418.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $95.32 / $114.67 / $161.11	Professional		$95.32	$114.67	$161.11