Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,933.00 / $4,933.00 / $4,933.00	Facility		$4,933.00	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,221.00 / $3,024.82 / $3,024.82	Professional		$1,221.00	$3,024.82	$3,024.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $832.02 / $970.52 / $1,365.45	Facility		$832.02	$970.52	$1,365.45
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,069.76 / $4,933.00 / $4,933.00	Facility		$2,069.76	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,069.76 / $2,069.76 / $2,860.00	Professional		$2,069.76	$2,069.76	$2,860.00
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 $773.00 / $3,005.00 / $4,594.00	Facility		$773.00	$3,005.00	$4,594.00