Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $655.61 / $4,933.00 / $6,906.00	Facility		$655.61	$4,933.00	$6,906.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $655.61 / $655.61 / $1,383.34	Professional		$655.61	$655.61	$1,383.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,338.93 / $1,816.51 / $4,185.82	Facility		$1,338.93	$1,816.51	$4,185.82
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $655.61 / $4,933.00 / $6,906.00	Facility		$655.61	$4,933.00	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $655.61 / $655.61 / $690.12	Professional		$655.61	$655.61	$690.12
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 $1,527.00 / $3,640.00 / $6,740.00	Facility		$1,527.00	$3,640.00	$6,740.00