Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.13 / $196.98 / $310.24	Facility		$187.13	$196.98	$310.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $246.23 / $246.23	Professional		$112.20	$246.23	$246.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $254.71 / $376.05 / $674.70	Facility		$254.71	$376.05	$674.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $241.97 / $254.71 / $343.86	Professional		$241.97	$254.71	$343.86
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $187.13 / $196.98 / $361.95	Facility		$187.13	$196.98	$361.95
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $246.23 / $247.07	Professional		$112.20	$246.23	$247.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00