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 / $6,906.00	Facility		$4,933.00	$4,933.00	$6,906.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.95 / $382.50 / $450.00	Professional		$380.95	$382.50	$450.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $847.49 / $987.78 / $1,338.29	Facility		$847.49	$987.78	$1,338.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.29 / $153.29 / $153.29	Professional		$153.29	$153.29	$153.29
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 $380.95 / $382.50 / $450.00	Professional		$380.95	$382.50	$450.00
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 $1,050.00 / $4,857.00 / $6,036.00	Facility		$1,050.00	$4,857.00	$6,036.00