Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,811.65 / $4,933.00 / $4,933.00	Facility		$1,811.65	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,143.97 / $1,811.65 / $3,006.37	Professional		$1,143.97	$1,811.65	$3,006.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,972.86 / $2,972.86 / $2,972.86	Facility		$2,972.86	$2,972.86	$2,972.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,824.22 / $3,121.50 / $4,013.36	Professional		$2,824.22	$3,121.50	$4,013.36
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,811.65 / $4,933.00 / $4,933.00	Facility		$1,811.65	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,811.65 / $1,883.21 / $2,448.17	Professional		$1,811.65	$1,883.21	$2,448.17
United Facility/Professional Facility Modifier Low / Median / High Price $2,524.00 / $5,819.00 / $8,339.00	Facility		$2,524.00	$5,819.00	$8,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,663.84 / $2,350.23 / $2,985.05	Professional		$1,663.84	$2,350.23	$2,985.05