Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,530.66 / $2,877.00 / $4,933.00	Facility		$1,530.66	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $958.19 / $1,530.66 / $1,770.56	Professional		$958.19	$1,530.66	$1,770.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,753.18 / $4,753.18 / $4,753.18	Facility		$4,753.18	$4,753.18	$4,753.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,515.52 / $4,943.31 / $6,416.79	Professional		$4,515.52	$4,943.31	$6,416.79
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,877.00 / $2,877.00 / $4,933.00	Facility		$2,877.00	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,070.78 / $1,530.66 / $1,770.56	Professional		$1,070.78	$1,530.66	$1,770.56
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 $2,524.00 / $5,819.00 / $8,339.00	Facility		$2,524.00	$5,819.00	$8,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,862.48 / $2,204.30 / $3,156.23	Professional		$1,862.48	$2,204.30	$3,156.23