Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $287.56 / $4,933.00 / $6,906.00	Facility		$287.56	$4,933.00	$6,906.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.11 / $287.56 / $798.15	Professional		$241.11	$287.56	$798.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $721.71 / $1,018.58 / $2,404.42	Facility		$721.71	$1,018.58	$2,404.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.83 / $172.86 / $948.18	Professional		$107.83	$172.86	$948.18
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $287.56 / $4,933.00 / $6,906.00	Facility		$287.56	$4,933.00	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $287.56 / $287.56 / $576.40	Professional		$287.56	$287.56	$576.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $100.00	Professional		$30.00	$30.00	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $773.00 / $2,800.00 / $4,594.00	Facility		$773.00	$2,800.00	$4,594.00