Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,632.17 / $2,056.00 / $4,933.00	Facility		$1,632.17	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $170.00 / $170.00	Professional		$170.00	$170.00	$170.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $242.01 / $283.48 / $382.16	Facility		$242.01	$283.48	$382.16
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $7.06 / $2,056.00 / $4,933.00	Facility		$7.06	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $7.06 / $7.06 / $9.25	Professional		$7.06	$7.06	$9.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $75.00	Professional		$30.00	$30.00	$75.00
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