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 $308.25 / $308.25 / $308.25	Professional		$308.25	$308.25	$308.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,704.50 / $9,206.65 / $17,665.81	Facility		$4,704.50	$9,206.65	$17,665.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $402.60 / $440.73 / $471.38	Professional		$402.60	$440.73	$471.38
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 $308.25 / $4,797.00 / $6,853.00	Professional		$308.25	$4,797.00	$6,853.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $275.89 / $341.56 / $747.84	Professional		$275.89	$341.56	$747.84
United Facility/Professional Facility Modifier Low / Median / High Price $4,069.00 / $8,702.00 / $12,726.00	Facility		$4,069.00	$8,702.00	$12,726.00
United Facility/Professional Professional Modifier Low / Median / High Price $320.42 / $393.72 / $514.01	Professional		$320.42	$393.72	$514.01