Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.52 / $1,148.74 / $4,778.97	Facility		$741.52	$1,148.74	$4,778.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $601.71 / $601.71 / $601.71	Facility		$601.71	$601.71	$601.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $496.41 / $638.63 / $812.31	Professional		$496.41	$638.63	$812.31
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $741.52 / $3,250.06 / $4,778.97	Facility		$741.52	$3,250.06	$4,778.97
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 Professional Modifier Low / Median / High Price $423.29 / $554.11 / $605.95	Professional		$423.29	$554.11	$605.95