Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,379.79 / $5,251.29 / $5,757.00	Facility		$2,379.79	$5,251.29	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $638.05 / $3,744.18 / $4,933.50	Professional		$638.05	$3,744.18	$4,933.50
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 $1,004.30 / $4,933.00 / $5,757.00	Facility		$1,004.30	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,004.30 / $1,004.30 / $3,744.18	Professional		$1,004.30	$1,004.30	$3,744.18
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