Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,112.00 / $4,933.00 / $5,444.53	Facility		$4,112.00	$4,933.00	$5,444.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,438.12 / $5,172.10 / $5,444.53	Professional		$3,438.12	$5,172.10	$5,444.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,811.14 / $13,766.30 / $18,651.14	Facility		$11,811.14	$13,766.30	$18,651.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,802.59 / $7,371.37 / $11,027.57	Professional		$1,802.59	$7,371.37	$11,027.57
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,167.51 / $4,112.00 / $5,444.53	Facility		$1,167.51	$4,112.00	$5,444.53
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,167.51 / $1,912.46 / $5,444.53	Professional		$1,167.51	$1,912.46	$5,444.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $1,305.07 / $1,702.27	Professional		$75.00	$1,305.07	$1,702.27
United Facility/Professional Facility Modifier Low / Median / High Price $6,850.00 / $11,464.00 / $15,011.00	Facility		$6,850.00	$11,464.00	$15,011.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,011.03 / $1,427.90 / $7,608.82	Professional		$1,011.03	$1,427.90	$7,608.82