Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,933.00 / $12,949.78 / $12,949.78	Facility		$4,933.00	$12,949.78	$12,949.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,886.64 / $4,886.64 / $13,744.04	Professional		$4,886.64	$4,886.64	$13,744.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $215.38 / $251.23 / $338.68	Facility		$215.38	$251.23	$338.68
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $4,933.00 / $12,949.78 / $12,949.78	Facility		$4,933.00	$12,949.78	$12,949.78
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $4,886.64 / $4,933.00 / $13,744.04	Professional		$4,886.64	$4,933.00	$13,744.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $50.00	Professional		$30.00	$30.00	$50.00
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,428.00 / $2,029.00	Facility		$464.00	$1,428.00	$2,029.00