Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,112.00 / $4,933.00 / $6,576.17	Facility		$4,112.00	$4,933.00	$6,576.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $648.79 / $6,247.15 / $6,576.17	Professional		$648.79	$6,247.15	$6,576.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,811.14 / $13,766.30 / $18,651.14	Facility		$11,811.14	$13,766.30	$18,651.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,802.59 / $6,627.15 / $11,794.19	Professional		$1,802.59	$6,627.15	$11,794.19
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $650.84 / $4,112.00 / $6,576.17	Facility		$650.84	$4,112.00	$6,576.17
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $650.84 / $1,912.46 / $6,576.17	Professional		$650.84	$1,912.46	$6,576.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $1,305.07 / $1,702.27	Professional		$75.00	$1,305.07	$1,702.27
United Facility/Professional Facility Modifier Low / Median / High Price $7,133.00 / $10,822.00 / $14,085.00	Facility		$7,133.00	$10,822.00	$14,085.00
United Facility/Professional Professional Modifier Low / Median / High Price $492.02 / $866.69 / $13,920.40	Professional		$492.02	$866.69	$13,920.40