Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $917.31 / $4,933.00 / $4,933.00	Facility		$917.31	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $719.83 / $917.31 / $7,943.92	Professional		$719.83	$917.31	$7,943.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,679.39 / $6,679.39 / $6,679.39	Facility		$6,679.39	$6,679.39	$6,679.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,345.42 / $7,013.36 / $8,349.24	Professional		$6,345.42	$7,013.36	$8,349.24
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $917.31 / $4,933.00 / $4,933.00	Facility		$917.31	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $852.11 / $917.31 / $6,160.56	Professional		$852.11	$917.31	$6,160.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $75.00	Professional		$30.00	$30.00	$75.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,635.00 / $10,192.00 / $12,767.00	Facility		$4,635.00	$10,192.00	$12,767.00
United Facility/Professional Professional Modifier Low / Median / High Price $958.30 / $1,232.11 / $1,645.43	Professional		$958.30	$1,232.11	$1,645.43