Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $4,897.79 / $4,897.79	Facility		$616.60	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $602.56 / $954.99	Professional		$173.78	$602.56	$954.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $281.84 / $281.84	Facility		$177.83	$281.84	$281.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $281.84 / $281.84	Professional		$177.83	$281.84	$281.84
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $6,606.93 / $18,197.01	Facility		$4,897.79	$6,606.93	$18,197.01
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $933.25 / $8,317.64	Professional		$537.03	$933.25	$8,317.64
United Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $3,630.78 / $6,025.60	Facility		$537.03	$3,630.78	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,148.15 / $9,549.93	Professional		$588.84	$1,148.15	$9,549.93