Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,056.00 / $4,933.00 / $17,562.55	Facility		$2,056.00	$4,933.00	$17,562.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.50 / $395.84 / $2,636.40	Professional		$240.50	$395.84	$2,636.40
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 $2,056.00 / $4,933.00 / $17,562.55	Facility		$2,056.00	$4,933.00	$17,562.55
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $240.50 / $1,025.26 / $2,636.40	Professional		$240.50	$1,025.26	$2,636.40
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