Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna 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
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,106.96 / $5,957.10 / $8,030.65	Facility		$5,106.96	$5,957.10	$8,030.65
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3,641.95 / $4,112.00 / $4,933.00	Facility		$3,641.95	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3,641.95 / $3,641.95 / $4,933.00	Professional		$3,641.95	$3,641.95	$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 $4,069.00 / $8,847.00 / $10,652.00	Facility		$4,069.00	$8,847.00	$10,652.00