Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,056.00 / $3,112.23 / $4,933.00	Facility		$2,056.00	$3,112.23	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,338.48 / $2,338.48 / $2,338.48	Professional		$2,338.48	$2,338.48	$2,338.48
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 $235.20 / $2,878.00 / $4,933.00	Facility		$235.20	$2,878.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $235.20 / $235.20 / $325.00	Professional		$235.20	$235.20	$325.00
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 $174.86 / $961.00 / $1,844.00	Facility		$174.86	$961.00	$1,844.00