Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $274.02 / $4,933.00 / $4,933.00	Facility		$274.02	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.80 / $274.02 / $274.02	Professional		$192.80	$274.02	$274.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,380.63 / $4,380.63 / $4,380.63	Facility		$4,380.63	$4,380.63	$4,380.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,161.60 / $4,599.66 / $5,475.79	Professional		$4,161.60	$4,599.66	$5,475.79
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $274.02 / $296.75 / $4,933.00	Facility		$274.02	$296.75	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $220.53 / $296.75 / $341.26	Professional		$220.53	$296.75	$341.26
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 $3,500.00 / $8,702.00 / $10,652.00	Facility		$3,500.00	$8,702.00	$10,652.00
United Facility/Professional Professional Modifier Low / Median / High Price $295.11 / $399.27 / $546.08	Professional		$295.11	$399.27	$546.08