Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,112.00 / $4,112.00 / $4,933.00	Facility		$4,112.00	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $629.33 / $629.33 / $629.33	Professional		$629.33	$629.33	$629.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,085.54 / $5,927.38 / $8,030.65	Facility		$5,085.54	$5,927.38	$8,030.65
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $4,112.00 / $4,933.00 / $4,933.00	Facility		$4,112.00	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $4,112.00 / $4,112.00 / $4,933.00	Professional		$4,112.00	$4,112.00	$4,933.00
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 $3,500.00 / $8,702.00 / $10,351.00	Facility		$3,500.00	$8,702.00	$10,351.00