Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $4,897.79 / $4,897.79	Facility		$97.72	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $97.72 / $109.65	Professional		$61.66	$97.72	$109.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $141.25	Facility		$14.13	$14.13	$141.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $141.25 / $141.25	Professional		$44.67	$141.25	$141.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $288.40 / $4,897.79	Facility		$107.15	$288.40	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $102.33 / $131.83	Professional		$89.13	$102.33	$131.83
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,202.26 / $2,041.74	Facility		$302.00	$1,202.26	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $114.82 / $154.88	Professional		$93.33	$114.82	$154.88