Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.17 / $84.17 / $84.17	Facility		$84.17	$84.17	$84.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.36 / $84.17 / $107.08	Professional		$51.36	$84.17	$107.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $280.42 / $280.42 / $280.42	Facility		$280.42	$280.42	$280.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $266.39 / $280.42 / $311.91	Professional		$266.39	$280.42	$311.91
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $84.17 / $160.13 / $160.13	Facility		$84.17	$160.13	$160.13
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $84.17 / $160.13 / $199.95	Professional		$84.17	$160.13	$199.95
United Facility/Professional Professional Modifier Low / Median / High Price $53.77 / $68.38 / $241.77	Professional		$53.77	$68.38	$241.77