Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,933.00 / $4,933.00 / $4,933.00	Facility		$4,933.00	$4,933.00	$4,933.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.05 / $0.09	Facility		$0.02	$0.05	$0.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,245.81 / $1,770.36 / $8,099.72	Professional		$1,245.81	$1,770.36	$8,099.72
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $4,933.00 / $4,933.00 / $4,933.00	Facility		$4,933.00	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $7,019.76 / $7,019.76 / $7,945.44	Professional		$7,019.76	$7,019.76	$7,945.44
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 $700.00 / $1,507.00 / $28,465.00	Facility		$700.00	$1,507.00	$28,465.00