Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.89 / $2,056.00 / $4,933.00	Facility		$45.89	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.89 / $87.50 / $127.09	Professional		$45.89	$87.50	$127.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $174.31 / $235.37 / $552.74	Facility		$174.31	$235.37	$552.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.85 / $88.68 / $150.30	Professional		$16.85	$88.68	$150.30
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $45.89 / $2,056.00 / $4,933.00	Facility		$45.89	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $45.89 / $84.69 / $127.09	Professional		$45.89	$84.69	$127.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,418.00 / $2,029.00	Facility		$300.00	$1,418.00	$2,029.00