Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.27 / $4,933.00 / $31,660.90	Facility		$912.27	$4,933.00	$31,660.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.27 / $912.27 / $1,146.59	Professional		$912.27	$912.27	$1,146.59
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 / $17,956.72 / $24,241.57	Professional		$2,512.96	$17,956.72	$24,241.57
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,149.46 / $4,933.00 / $31,660.90	Facility		$1,149.46	$4,933.00	$31,660.90
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $912.27 / $912.27 / $16,418.16	Professional		$912.27	$912.27	$16,418.16
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 $6,850.00 / $12,544.00 / $29,001.00	Facility		$6,850.00	$12,544.00	$29,001.00