Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.58 / $1,346.77 / $4,933.00	Facility		$27.58	$1,346.77	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.58 / $27.58 / $35.18	Professional		$27.58	$27.58	$35.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $563.11 / $819.65 / $1,730.73	Facility		$563.11	$819.65	$1,730.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $581.52 / $636.62 / $826.38	Professional		$581.52	$636.62	$826.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $34.75 / $1,346.77 / $4,933.00	Facility		$34.75	$1,346.77	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $27.58 / $93.13 / $194.65	Professional		$27.58	$93.13	$194.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
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