Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,933.00 / $4,933.00 / $4,933.00	Facility		$4,933.00	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $154.00	Professional		$0.02	$0.02	$154.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.70 / $36.70 / $36.70	Facility		$36.70	$36.70	$36.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.91 / $25.51 / $42.21	Professional		$9.91	$25.51	$42.21
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $4,933.00 / $4,933.00 / $4,933.00	Facility		$4,933.00	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $32.64 / $4,933.00	Professional		$0.02	$32.64	$4,933.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00