Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $688.00 / $4,933.00 / $4,933.00	Facility		$688.00	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $688.00 / $688.00 / $688.00	Professional		$688.00	$688.00	$688.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,198.51 / $21,450.50 / $50,635.05	Facility		$15,198.51	$21,450.50	$50,635.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,512.96 / $15,219.37 / $16,821.41	Professional		$2,512.96	$15,219.37	$16,821.41
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $688.00 / $4,933.00 / $4,933.00	Facility		$688.00	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $688.00 / $688.00 / $16,501.00	Professional		$688.00	$688.00	$16,501.00
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 $1,906.00 / $5,261.00 / $29,001.00	Facility		$1,906.00	$5,261.00	$29,001.00