Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,443.44 / $4,933.00 / $6,853.00	Facility		$1,443.44	$4,933.00	$6,853.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $803.56 / $1,380.37 / $1,443.44	Professional		$803.56	$1,380.37	$1,443.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,034.82 / $7,039.41 / $9,903.94	Facility		$6,034.82	$7,039.41	$9,903.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,331.83 / $5,330.92 / $7,196.74	Professional		$3,331.83	$5,330.92	$7,196.74
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $784.11 / $4,933.00 / $6,853.00	Facility		$784.11	$4,933.00	$6,853.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $784.11 / $873.95 / $1,443.44	Professional		$784.11	$873.95	$1,443.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $50.00	Professional		$30.00	$30.00	$50.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $10,192.00 / $14,705.00	Facility		$5,000.00	$10,192.00	$14,705.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,509.26 / $1,988.44 / $2,533.60	Professional		$1,509.26	$1,988.44	$2,533.60