Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,132.32 / $4,933.00 / $5,757.00	Facility		$2,132.32	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,648.22 / $2,132.32 / $4,404.71	Professional		$1,648.22	$2,132.32	$4,404.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,802.16 / $11,802.16 / $11,802.16	Facility		$11,802.16	$11,802.16	$11,802.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11,212.05 / $12,392.27 / $14,752.70	Professional		$11,212.05	$12,392.27	$14,752.70
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,203.89 / $4,933.00 / $5,757.00	Facility		$2,203.89	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,095.73 / $2,203.89 / $2,424.27	Professional		$1,095.73	$2,203.89	$2,424.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $75.00 / $100.00	Professional		$30.00	$75.00	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,635.00 / $10,192.00 / $12,767.00	Facility		$4,635.00	$10,192.00	$12,767.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,449.39 / $2,345.10 / $3,176.19	Professional		$1,449.39	$2,345.10	$3,176.19