Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $627.98 / $2,056.00 / $6,020.11	Facility		$627.98	$2,056.00	$6,020.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $627.98 / $627.98 / $1,559.20	Professional		$627.98	$627.98	$1,559.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.05 / $0.10	Facility		$0.02	$0.05	$0.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,245.81 / $7,328.32 / $8,099.72	Professional		$1,245.81	$7,328.32	$8,099.72
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $639.28 / $2,349.11 / $6,906.00	Facility		$639.28	$2,349.11	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $627.98 / $627.98 / $7,945.44	Professional		$627.98	$627.98	$7,945.44
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 / $1,844.00 / $29,001.00	Facility		$464.00	$1,844.00	$29,001.00