Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $303.05 / $696.15 / $727.22	Facility		$303.05	$696.15	$727.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $634.40 / $634.40 / $634.40	Professional		$634.40	$634.40	$634.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.84 / $196.65 / $365.82	Facility		$104.84	$196.65	$365.82
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $164.44 / $373.37 / $715.85	Facility		$164.44	$373.37	$715.85
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $164.44 / $164.44 / $189.10	Professional		$164.44	$164.44	$189.10
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 Professional Modifier Low / Median / High Price $9.72 / $9.72 / $90.95	Professional		$9.72	$9.72	$90.95