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
Aetna Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $750.00 / $750.00	Professional		$750.00	$750.00	$750.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $214.48 / $251.23 / $338.68	Facility		$214.48	$251.23	$338.68
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $4,933.00 / $4,933.00 / $6,906.00	Facility		$4,933.00	$4,933.00	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $2,040.00 / $2,040.00	Professional		$750.00	$2,040.00	$2,040.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $75.00	Professional		$30.00	$30.00	$75.00
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,418.00 / $2,029.00	Facility		$300.00	$1,418.00	$2,029.00