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 $490.00 / $532.17 / $853.00	Professional		$490.00	$532.17	$853.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $563.11 / $819.65 / $1,730.73	Facility		$563.11	$819.65	$1,730.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $581.52 / $636.62 / $826.38	Professional		$581.52	$636.62	$826.38
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 $372.56 / $372.56 / $548.54	Professional		$372.56	$372.56	$548.54
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 $464.00 / $1,418.00 / $2,449.00	Facility		$464.00	$1,418.00	$2,449.00