Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,625.16 / $4,112.00 / $4,933.00	Facility		$1,625.16	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $680.00 / $680.00 / $680.00	Professional		$680.00	$680.00	$680.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $185.10 / $215.92 / $291.07	Facility		$185.10	$215.92	$291.07
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $4,112.00 / $4,933.00 / $5,683.92	Facility		$4,112.00	$4,933.00	$5,683.92
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $680.00 / $680.00 / $4,933.00	Professional		$680.00	$680.00	$4,933.00
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 $464.00 / $1,428.00 / $2,029.00	Facility		$464.00	$1,428.00	$2,029.00