Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,124.07 / $4,933.00 / $4,933.00	Facility		$1,124.07	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $283.48 / $1,124.07 / $2,326.86	Professional		$283.48	$1,124.07	$2,326.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,068.70 / $4,068.70 / $6,509.92	Facility		$4,068.70	$4,068.70	$6,509.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,301.99 / $5,492.75 / $7,240.98	Professional		$1,301.99	$5,492.75	$7,240.98
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,124.07 / $4,933.00 / $6,228.76	Facility		$1,124.07	$4,933.00	$6,228.76
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,116.60 / $6,228.76 / $6,976.21	Professional		$1,116.60	$6,228.76	$6,976.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,906.00 / $4,645.00 / $6,740.00	Facility		$1,906.00	$4,645.00	$6,740.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,295.68 / $1,772.18 / $9,678.48	Professional		$1,295.68	$1,772.18	$9,678.48