Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.65 / $64.65 / $64.65	Facility		$64.65	$64.65	$64.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.12 / $64.27 / $71.31	Professional		$52.12	$64.27	$71.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.91 / $146.29 / $146.29	Facility		$26.91	$146.29	$146.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.91 / $138.97 / $175.55	Professional		$26.91	$138.97	$175.55
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $64.65 / $67.67 / $67.67	Facility		$64.65	$67.67	$67.67
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $64.65 / $67.67 / $84.58	Professional		$64.65	$67.67	$84.58
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 Professional Modifier Low / Median / High Price $64.28 / $76.13 / $105.74	Professional		$64.28	$76.13	$105.74