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 $214.48 / $249.98 / $338.68	Facility		$214.48	$249.98	$338.68
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $657.00 / $4,933.00 / $4,933.00	Facility		$657.00	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $657.00 / $657.00 / $755.55	Professional		$657.00	$657.00	$755.55
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 $300.00 / $1,438.00 / $1,844.00	Facility		$300.00	$1,438.00	$1,844.00