Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $625.21 / $4,112.00 / $4,933.00	Facility		$625.21	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.94 / $593.91 / $625.21	Professional		$141.94	$593.91	$625.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $680.55 / $680.55 / $2,126.71	Facility		$680.55	$680.55	$2,126.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $578.47 / $2,126.71 / $3,572.89	Professional		$578.47	$2,126.71	$3,572.89
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $237.57 / $4,112.00 / $4,933.00	Facility		$237.57	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $237.57 / $239.82 / $625.21	Professional		$237.57	$239.82	$625.21
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 $268.95 / $341.51 / $950.69	Professional		$268.95	$341.51	$950.69