Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,877.00 / $4,029.00 / $4,933.00	Facility		$2,877.00	$4,029.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,519.00 / $1,575.67 / $2,643.00	Professional		$1,519.00	$1,575.67	$2,643.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,774.52 / $2,582.94 / $5,454.01	Facility		$1,774.52	$2,582.94	$5,454.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,737.77 / $1,902.40 / $2,469.46	Professional		$1,737.77	$1,902.40	$2,469.46
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,877.00 / $4,029.00 / $4,933.00	Facility		$2,877.00	$4,029.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,247.78 / $1,247.78 / $1,755.06	Professional		$1,247.78	$1,247.78	$1,755.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,527.00 / $3,640.00 / $6,740.00	Facility		$1,527.00	$3,640.00	$6,740.00