Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $778.04 / $4,112.00 / $4,933.00	Facility		$778.04	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $523.22 / $778.04 / $899.99	Professional		$523.22	$778.04	$899.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,761.37 / $3,761.37 / $3,761.37	Facility		$3,761.37	$3,761.37	$3,761.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,573.30 / $3,761.37 / $4,183.77	Professional		$3,573.30	$3,761.37	$4,183.77
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $778.04 / $4,112.00 / $5,756.00	Facility		$778.04	$4,112.00	$5,756.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $725.46 / $778.04 / $899.99	Professional		$725.46	$778.04	$899.99
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 $3,500.00 / $8,030.00 / $12,726.00	Facility		$3,500.00	$8,030.00	$12,726.00
United Facility/Professional Professional Modifier Low / Median / High Price $862.18 / $1,064.79 / $1,362.98	Professional		$862.18	$1,064.79	$1,362.98