Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,322.30 / $4,933.00 / $4,933.00	Facility		$1,322.30	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $835.01 / $1,322.30 / $1,322.30	Professional		$835.01	$1,322.30	$1,322.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $448.09 / $448.09 / $448.09	Facility		$448.09	$448.09	$448.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $425.69 / $1,832.39 / $3,558.34	Professional		$425.69	$1,832.39	$3,558.34
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,287.15 / $4,933.00 / $4,933.00	Facility		$1,287.15	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,264.58 / $1,287.15 / $1,637.37	Professional		$1,264.58	$1,287.15	$1,637.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
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 $1,599.46 / $1,952.26 / $2,669.54	Professional		$1,599.46	$1,952.26	$2,669.54