Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $259.27 / $2,056.00 / $4,933.00	Facility		$259.27	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.72 / $259.27 / $259.27	Professional		$163.72	$259.27	$259.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.43 / $63.43 / $63.43	Facility		$63.43	$63.43	$63.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.43 / $314.81 / $429.07	Professional		$63.43	$314.81	$429.07
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $267.83 / $2,056.00 / $4,933.00	Facility		$267.83	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $259.27 / $267.83 / $349.66	Professional		$259.27	$267.83	$349.66
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,428.00 / $2,029.00	Facility		$464.00	$1,428.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $309.69 / $340.38 / $467.04	Professional		$309.69	$340.38	$467.04