Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,056.00 / $2,056.00 / $4,933.00	Facility		$2,056.00	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $369.77 / $369.77 / $369.77	Professional		$369.77	$369.77	$369.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.05	Facility		$0.02	$0.02	$0.05
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 $2,056.00 / $2,056.00 / $4,933.00	Professional		$2,056.00	$2,056.00	$4,933.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $100.00 / $100.00	Professional		$30.00	$100.00	$100.00