Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,717.25 / $4,933.00 / $13,473.78	Facility		$1,717.25	$4,933.00	$13,473.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.43 / $2,473.02 / $4,189.43	Professional		$274.43	$2,473.02	$4,189.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $242.01 / $283.48 / $382.16	Facility		$242.01	$283.48	$382.16
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $663.26 / $2,878.00 / $13,473.78	Facility		$663.26	$2,878.00	$13,473.78
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $663.26 / $663.26 / $951.75	Professional		$663.26	$663.26	$951.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $75.00	Professional		$30.00	$30.00	$75.00
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,247.00 / $1,844.00	Facility		$464.00	$1,247.00	$1,844.00