Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.90 / $118.67 / $4,241.29	Facility		$74.90	$118.67	$4,241.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $228.84 / $439.79 / $849.72	Facility		$228.84	$439.79	$849.72
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $74.90 / $605.23 / $4,241.29	Facility		$74.90	$605.23	$4,241.29
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $605.23 / $605.23 / $771.97	Professional		$605.23	$605.23	$771.97
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 $464.00 / $1,418.00 / $2,449.00	Facility		$464.00	$1,418.00	$2,449.00