Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.25 / $2,877.00 / $4,933.00	Facility		$346.25	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.31 / $346.25 / $392.65	Professional		$274.31	$346.25	$392.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,896.07 / $1,896.07 / $3,033.71	Facility		$1,896.07	$1,896.07	$3,033.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $515.73 / $2,882.02 / $3,488.77	Professional		$515.73	$2,882.02	$3,488.77
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $166.69 / $2,877.00 / $4,933.00	Facility		$166.69	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $166.69 / $166.69 / $346.25	Professional		$166.69	$166.69	$346.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $7,780.00 / $9,202.00	Facility		$2,500.00	$7,780.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $376.48 / $476.39 / $602.71	Professional		$376.48	$476.39	$602.71