Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,933.00 / $4,933.00 / $4,933.00	Facility		$4,933.00	$4,933.00	$4,933.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $812.48 / $1,102.28 / $2,540.01	Facility		$812.48	$1,102.28	$2,540.01
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $119.83 / $4,933.00 / $4,933.00	Facility		$119.83	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $119.83 / $119.83 / $161.77	Professional		$119.83	$119.83	$161.77
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 $464.00 / $1,418.00 / $2,449.00	Facility		$464.00	$1,418.00	$2,449.00