Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,273.03 / $2,877.00 / $4,933.00	Facility		$1,273.03	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $796.67 / $1,273.03 / $1,471.88	Professional		$796.67	$1,273.03	$1,471.88
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 $857.05 / $1,273.03 / $1,471.88	Professional		$857.05	$1,273.03	$1,471.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
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 $1,559.69 / $1,915.94 / $2,477.76	Professional		$1,559.69	$1,915.94	$2,477.76