Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $815.12 / $2,878.00 / $5,056.76	Facility		$815.12	$2,878.00	$5,056.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.50 / $117.50 / $117.50	Professional		$117.50	$117.50	$117.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $242.01 / $283.48 / $382.16	Facility		$242.01	$283.48	$382.16
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $815.12 / $2,056.00 / $6,906.00	Facility		$815.12	$2,056.00	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $871.15 / $871.15 / $1,001.82	Professional		$871.15	$871.15	$1,001.82
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 $174.86 / $961.00 / $1,844.00	Facility		$174.86	$961.00	$1,844.00