Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $350.87 / $4,112.00 / $4,933.00	Facility		$350.87	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.62 / $335.51 / $350.87	Professional		$221.62	$335.51	$350.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,252.16 / $5,812.33 / $13,403.69	Facility		$4,252.16	$5,812.33	$13,403.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $578.47 / $2,126.71 / $3,784.87	Professional		$578.47	$2,126.71	$3,784.87
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $389.19 / $4,112.00 / $4,933.00	Facility		$389.19	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $350.87 / $389.19 / $497.25	Professional		$350.87	$389.19	$497.25
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 $385.00 / $480.66 / $653.95	Professional		$385.00	$480.66	$653.95