Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $788.00 / $3,109.00 / $4,933.00	Facility		$788.00	$3,109.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $456.39 / $782.44 / $935.00	Professional		$456.39	$782.44	$935.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.16 / $1,036.33 / $2,492.96	Facility		$758.16	$1,036.33	$2,492.96
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $407.11 / $2,056.00 / $4,933.00	Facility		$407.11	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $407.11 / $432.73 / $796.50	Professional		$407.11	$432.73	$796.50
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 / $1,155.00 / $1,844.00	Facility		$174.86	$1,155.00	$1,844.00