Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $962.00 / $2,056.00 / $4,933.00	Facility		$962.00	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $170.00 / $170.00	Professional		$170.00	$170.00	$170.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $431.20 / $502.98 / $678.06	Facility		$431.20	$502.98	$678.06
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $113.32 / $2,056.00 / $4,933.00	Facility		$113.32	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $113.32 / $113.32 / $163.81	Professional		$113.32	$113.32	$163.81
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 $464.00 / $1,428.00 / $2,029.00	Facility		$464.00	$1,428.00	$2,029.00