Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,056.00 / $2,878.00 / $4,933.00	Facility		$2,056.00	$2,878.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.00 / $188.00 / $188.00	Professional		$188.00	$188.00	$188.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.06 / $0.10	Facility		$0.02	$0.06	$0.10
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,056.00 / $2,878.00 / $4,933.00	Facility		$2,056.00	$2,878.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $188.00 / $188.00 / $188.00	Professional		$188.00	$188.00	$188.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
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