Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.12 / $218.12 / $568.52	Facility		$218.12	$218.12	$568.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $87.00 / $499.00	Professional		$30.00	$87.00	$499.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $121.86 / $173.39 / $397.02	Facility		$121.86	$173.39	$397.02
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $25.87 / $218.12 / $568.52	Facility		$25.87	$218.12	$568.52
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $25.87 / $25.87 / $34.36	Professional		$25.87	$25.87	$34.36
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
United Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $65.63 / $65.63	Professional		$65.63	$65.63	$65.63