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
BCBS Facility/Professional Facility Modifier Low / Median / High Price $652.92 / $761.01 / $1,031.05	Facility		$652.92	$761.01	$1,031.05
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $706.31 / $4,933.00 / $4,933.00	Facility		$706.31	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $706.31 / $706.31 / $975.97	Professional		$706.31	$706.31	$975.97
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 / $2,704.00 / $4,504.00	Facility		$773.00	$2,704.00	$4,504.00