Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,056.00 / $2,056.00 / $4,933.00	Facility		$2,056.00	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.35 / $273.70 / $283.05	Professional		$264.35	$273.70	$283.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $215.38 / $251.23 / $338.68	Facility		$215.38	$251.23	$338.68
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,215.27 / $2,056.00 / $4,933.00	Facility		$1,215.27	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $1,215.27 / $1,391.48	Professional		$300.00	$1,215.27	$1,391.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
United Facility/Professional Facility Modifier Low / Median / High Price $182.02 / $1,064.00 / $1,844.00	Facility		$182.02	$1,064.00	$1,844.00