Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,944.92 / $4,933.00 / $5,915.94	Facility		$1,944.92	$4,933.00	$5,915.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $379.78 / $695.69 / $2,927.76	Professional		$379.78	$695.69	$2,927.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $262.76 / $306.50 / $413.19	Facility		$262.76	$306.50	$413.19
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,056.00 / $4,933.00 / $5,915.94	Facility		$2,056.00	$4,933.00	$5,915.94
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $379.78 / $695.69 / $2,927.76	Professional		$379.78	$695.69	$2,927.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $50.00	Professional		$30.00	$30.00	$50.00
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