Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,201.78 / $4,933.00 / $6,906.00	Facility		$1,201.78	$4,933.00	$6,906.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,201.78 / $1,201.78 / $1,507.37	Professional		$1,201.78	$1,201.78	$1,507.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.05 / $0.09	Facility		$0.02	$0.05	$0.09
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,201.78 / $4,933.00 / $6,906.00	Facility		$1,201.78	$4,933.00	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,201.78 / $1,201.78 / $1,201.78	Professional		$1,201.78	$1,201.78	$1,201.78
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 $700.00 / $1,209.00 / $2,029.00	Facility		$700.00	$1,209.00	$2,029.00