Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $393.26 / $2,056.00 / $4,933.00	Facility		$393.26	$2,056.00	$4,933.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.80 / $207.40 / $279.58	Facility		$177.80	$207.40	$279.58
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $979.00 / $2,056.00 / $4,933.00	Facility		$979.00	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,056.00 / $2,056.00 / $4,933.00	Professional		$2,056.00	$2,056.00	$4,933.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
United Facility/Professional Facility Modifier Low / Median / High Price $152.18 / $1,386.00 / $2,029.00	Facility		$152.18	$1,386.00	$2,029.00