Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $362.87 / $2,877.00 / $4,933.00	Facility		$362.87	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $375.00 / $582.12 / $1,024.32	Professional		$375.00	$582.12	$1,024.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $838.93 / $1,138.16 / $2,622.69	Facility		$838.93	$1,138.16	$2,622.69
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $329.14 / $2,877.00 / $4,933.00	Facility		$329.14	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $329.14 / $349.86 / $797.94	Professional		$329.14	$349.86	$797.94
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 $484.60 / $2,704.00 / $4,504.00	Facility		$484.60	$2,704.00	$4,504.00