Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $790.31 / $4,933.00 / $4,933.00	Facility		$790.31	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.05 / $750.78 / $790.31	Professional		$218.05	$750.78	$790.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,785.08 / $9,785.08 / $9,785.08	Facility		$9,785.08	$9,785.08	$9,785.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9,295.83 / $10,176.48 / $13,209.86	Professional		$9,295.83	$10,176.48	$13,209.86
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $418.58 / $4,933.00 / $4,933.00	Facility		$418.58	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $418.58 / $421.10 / $790.31	Professional		$418.58	$421.10	$790.31
United Facility/Professional Facility Modifier Low / Median / High Price $3,296.00 / $7,780.00 / $10,556.00	Facility		$3,296.00	$7,780.00	$10,556.00
United Facility/Professional Professional Modifier Low / Median / High Price $411.70 / $543.14 / $1,067.83	Professional		$411.70	$543.14	$1,067.83