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 / $6,906.00	Facility		$4,933.00	$4,933.00	$6,906.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $708.00 / $708.00 / $708.00	Professional		$708.00	$708.00	$708.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $326.54 / $380.90 / $535.89	Facility		$326.54	$380.90	$535.89
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 $708.00 / $708.00 / $708.00	Professional		$708.00	$708.00	$708.00
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 / $1,386.00 / $2,449.00	Facility		$300.00	$1,386.00	$2,449.00