Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $273.38 / $2,056.00 / $4,933.00	Facility		$273.38	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.92 / $273.38 / $288.66	Professional		$203.92	$273.38	$288.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $923.69 / $1,081.99 / $1,522.28	Facility		$923.69	$1,081.99	$1,522.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,829.49 / $6,443.13 / $7,670.39	Professional		$5,829.49	$6,443.13	$7,670.39
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $273.38 / $2,056.00 / $4,933.00	Facility		$273.38	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $241.38 / $273.38 / $605.44	Professional		$241.38	$273.38	$605.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
United Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $3,005.00 / $4,504.00	Facility		$645.00	$3,005.00	$4,504.00
United Facility/Professional Professional Modifier Low / Median / High Price $256.41 / $332.48 / $446.74	Professional		$256.41	$332.48	$446.74