Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $4,897.79 / $4,897.79	Facility		$275.42	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $257.04 / $302.00	Professional		$173.78	$257.04	$302.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $4,365.16	Facility		$4,365.16	$4,365.16	$4,365.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,365.16 / $4,570.88	Professional		$4,168.69	$4,365.16	$4,570.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $870.96 / $4,897.79	Facility		$316.23	$870.96	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $275.42 / $398.11	Professional		$204.17	$275.42	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $7,079.46 / $11,481.54	Facility		$3,630.78	$7,079.46	$11,481.54
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $398.11 / $501.19	Professional		$275.42	$398.11	$501.19