Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,052.55 / $4,933.00 / $6,853.00	Facility		$1,052.55	$4,933.00	$6,853.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $664.68 / $1,006.58 / $1,052.55	Professional		$664.68	$1,006.58	$1,052.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,493.46 / $10,493.46 / $10,493.46	Facility		$10,493.46	$10,493.46	$10,493.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9,968.79 / $15,950.05 / $18,674.99	Professional		$9,968.79	$15,950.05	$18,674.99
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $4,933.00 / $4,933.00 / $6,853.00	Facility		$4,933.00	$4,933.00	$6,853.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $711.35 / $1,052.55 / $1,055.17	Professional		$711.35	$1,052.55	$1,055.17
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 $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 $1,307.84 / $1,580.09 / $2,534.42	Professional		$1,307.84	$1,580.09	$2,534.42