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 $1,311.38 / $7,714.02 / $10,413.93	Professional		$1,311.38	$7,714.02	$10,413.93
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 $464.00 / $1,844.00 / $29,001.00	Facility		$464.00	$1,844.00	$29,001.00