Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $905.40 / $2,297.04 / $6,906.00	Facility		$905.40	$2,297.04	$6,906.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $369.77 / $369.77 / $771.00	Professional		$369.77	$369.77	$771.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $808.60 / $942.46 / $1,276.88	Facility		$808.60	$942.46	$1,276.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $176.87 / $2,056.00 / $4,933.00	Facility		$176.87	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $176.87 / $176.87 / $244.40	Professional		$176.87	$176.87	$244.40
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 $645.00 / $3,005.00 / $4,504.00	Facility		$645.00	$3,005.00	$4,504.00