Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $330.15 / $2,056.00 / $4,933.00	Facility		$330.15	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.19 / $330.15 / $333.09	Professional		$223.19	$330.15	$333.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,604.61 / $5,153.21 / $10,118.87	Facility		$2,604.61	$5,153.21	$10,118.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $205.04 / $241.22 / $1,341.53	Professional		$205.04	$241.22	$1,341.53
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $316.37 / $2,056.00 / $4,933.00	Facility		$316.37	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $316.37 / $330.15 / $435.28	Professional		$316.37	$330.15	$435.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,386.00 / $2,449.00	Facility		$300.00	$1,386.00	$2,449.00
United Facility/Professional Professional Modifier Low / Median / High Price $297.89 / $387.88 / $512.00	Professional		$297.89	$387.88	$512.00