Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna 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
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $65.00 / $30,720.00	Professional		$65.00	$65.00	$30,720.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,030.48 / $12,030.48 / $12,030.48	Facility		$12,030.48	$12,030.48	$12,030.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11,428.96 / $12,632.00 / $15,038.10	Professional		$11,428.96	$12,632.00	$15,038.10
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,877.00 / $4,029.00 / $4,933.00	Facility		$2,877.00	$4,029.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $30,720.00 / $30,720.00 / $30,720.00	Professional		$30,720.00	$30,720.00	$30,720.00
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 $1,820.00 / $9,143.00 / $12,767.00	Facility		$1,820.00	$9,143.00	$12,767.00