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 $502.26 / $502.26 / $502.26	Professional		$502.26	$502.26	$502.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $808.60 / $942.46 / $1,276.88	Facility		$808.60	$942.46	$1,276.88
Health Alliance Plan 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
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $502.26 / $502.26 / $4,933.00	Professional		$502.26	$502.26	$4,933.00
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 $645.00 / $3,005.00 / $4,504.00	Facility		$645.00	$3,005.00	$4,504.00