Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,797.00 / $4,933.00 / $6,853.00	Facility		$4,797.00	$4,933.00	$6,853.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.08 / $699.00 / $1,095.00	Professional		$187.08	$699.00	$1,095.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,667.01 / $9,041.01 / $17,468.00	Facility		$4,667.01	$9,041.01	$17,468.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $262.10 / $286.93 / $306.86	Professional		$262.10	$286.93	$306.86
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $4,797.00 / $4,933.00 / $6,853.00	Facility		$4,797.00	$4,933.00	$6,853.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $187.08 / $4,797.00 / $6,853.00	Professional		$187.08	$4,797.00	$6,853.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $174.20 / $214.45 / $795.55	Professional		$174.20	$214.45	$795.55
United Facility/Professional Facility Modifier Low / Median / High Price $6,850.00 / $11,464.00 / $15,011.00	Facility		$6,850.00	$11,464.00	$15,011.00
United Facility/Professional Professional Modifier Low / Median / High Price $202.45 / $247.05 / $366.84	Professional		$202.45	$247.05	$366.84