Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,797.00 / $4,933.00 / $6,853.00	Facility		$4,797.00	$4,933.00	$6,853.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.20 / $297.20 / $297.20	Professional		$297.20	$297.20	$297.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,667.01 / $9,041.01 / $17,468.00	Facility		$4,667.01	$9,041.01	$17,468.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $359.06 / $393.09 / $510.26	Professional		$359.06	$393.09	$510.26
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $4,797.00 / $4,933.00 / $6,853.00	Facility		$4,797.00	$4,933.00	$6,853.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $4,797.00 / $4,933.00 / $6,853.00	Professional		$4,797.00	$4,933.00	$6,853.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $275.89 / $341.56 / $682.67	Professional		$275.89	$341.56	$682.67
United Facility/Professional Facility Modifier Low / Median / High Price $4,069.00 / $8,702.00 / $12,726.00	Facility		$4,069.00	$8,702.00	$12,726.00
United Facility/Professional Professional Modifier Low / Median / High Price $289.70 / $347.55 / $475.18	Professional		$289.70	$347.55	$475.18