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 $708.00 / $708.00 / $981.37	Professional		$708.00	$708.00	$981.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,218.76 / $2,588.11 / $3,641.28	Facility		$2,218.76	$2,588.11	$3,641.28
Health Alliance Plan 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
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $708.00 / $708.00 / $708.00	Professional		$708.00	$708.00	$708.00
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 / $3,569.00 / $6,740.00	Facility		$1,050.00	$3,569.00	$6,740.00