Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $510.84 / $909.09 / $4,933.00	Facility		$510.84	$909.09	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.50 / $432.25 / $992.28	Professional		$192.50	$432.25	$992.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $277.80 / $327.69 / $441.76	Facility		$277.80	$327.69	$441.76
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $463.07 / $979.00 / $4,933.00	Facility		$463.07	$979.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $264.31 / $280.95 / $514.79	Professional		$264.31	$280.95	$514.79
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 / $1,351.00 / $1,844.00	Facility		$300.00	$1,351.00	$1,844.00