Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.53 / $4,933.00 / $5,757.00	Facility		$1,288.53	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,019.62 / $1,288.53 / $1,395.28	Professional		$1,019.62	$1,288.53	$1,395.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,802.16 / $11,802.16 / $11,802.16	Facility		$11,802.16	$11,802.16	$11,802.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11,212.05 / $12,392.27 / $14,752.70	Professional		$11,212.05	$12,392.27	$14,752.70
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,435.32 / $4,933.00 / $5,757.00	Facility		$1,435.32	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,288.53 / $1,435.32 / $1,789.81	Professional		$1,288.53	$1,435.32	$1,789.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $75.00 / $100.00	Professional		$30.00	$75.00	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,561.00 / $8,995.00 / $12,767.00	Facility		$4,561.00	$8,995.00	$12,767.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,311.19 / $1,658.90 / $2,189.75	Professional		$1,311.19	$1,658.90	$2,189.75