Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.69 / $2,056.00 / $4,933.00	Facility		$148.69	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.99 / $148.69 / $148.69	Professional		$107.99	$148.69	$148.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,019.18 / $1,187.89 / $1,609.41	Facility		$1,019.18	$1,187.89	$1,609.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.75 / $31.32 / $184.25	Professional		$29.75	$31.32	$184.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $114.86 / $2,056.00 / $4,933.00	Facility		$114.86	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $114.86 / $131.91 / $163.44	Professional		$114.86	$131.91	$163.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $92.38 / $98.68 / $116.28	Professional		$92.38	$98.68	$116.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,527.00 / $3,569.00 / $6,740.00	Facility		$1,527.00	$3,569.00	$6,740.00
United Facility/Professional Professional Modifier Low / Median / High Price $127.73 / $151.13 / $196.91	Professional		$127.73	$151.13	$196.91