Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $561.23 / $4,933.00 / $4,933.00	Facility		$561.23	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.41 / $561.23 / $1,173.29	Professional		$354.41	$561.23	$1,173.29
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 / $3,091.77 / $4,013.36	Professional		$2,824.22	$3,091.77	$4,013.36
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $561.23 / $4,933.00 / $4,933.00	Facility		$561.23	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $561.23 / $1,883.21 / $2,436.30	Professional		$561.23	$1,883.21	$2,436.30
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 $938.00 / $2,348.42 / $2,980.69	Professional		$938.00	$2,348.42	$2,980.69