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 / $4,933.00	Facility		$4,933.00	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.72 / $74.72 / $74.72	Professional		$74.72	$74.72	$74.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $402.23 / $779.21 / $1,505.50	Facility		$402.23	$779.21	$1,505.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.95 / $337.53 / $395.20	Professional		$99.95	$337.53	$395.20
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $4,933.00 / $4,933.00 / $4,933.00	Facility		$4,933.00	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $4,933.00 / $4,933.00 / $4,933.00	Professional		$4,933.00	$4,933.00	$4,933.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.83 / $43.97 / $176.40	Professional		$35.83	$43.97	$176.40
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,418.00 / $2,449.00	Facility		$464.00	$1,418.00	$2,449.00
United Facility/Professional Professional Modifier Low / Median / High Price $75.08 / $92.37 / $122.83	Professional		$75.08	$92.37	$122.83