Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $517.50 / $4,112.00 / $4,933.00	Facility		$517.50	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $517.50 / $517.50 / $586.50	Professional		$517.50	$517.50	$586.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,289.99 / $3,834.59 / $5,195.26	Facility		$3,289.99	$3,834.59	$5,195.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.15 / $1,074.44 / $1,792.65	Professional		$204.15	$1,074.44	$1,792.65
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $4,112.00 / $4,112.00 / $4,933.00	Facility		$4,112.00	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $517.50 / $517.50 / $1,016.55	Professional		$517.50	$517.50	$1,016.55
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 $4,069.00 / $8,847.00 / $10,652.00	Facility		$4,069.00	$8,847.00	$10,652.00
United Facility/Professional Professional Modifier Low / Median / High Price $554.36 / $701.00 / $701.00	Professional		$554.36	$701.00	$701.00