Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,085.11 / $4,933.00 / $8,060.00	Facility		$1,085.11	$4,933.00	$8,060.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,085.10 / $1,085.11 / $1,085.11	Professional		$1,085.10	$1,085.11	$1,085.11
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 $1,104.65 / $4,933.00 / $8,060.00	Facility		$1,104.65	$4,933.00	$8,060.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,085.10 / $1,960.35 / $2,040.02	Professional		$1,085.10	$1,960.35	$2,040.02
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 $4,069.00 / $8,847.00 / $12,867.00	Facility		$4,069.00	$8,847.00	$12,867.00