Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $410.59 / $4,112.00 / $4,933.00	Facility		$410.59	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.36 / $392.63 / $410.59	Professional		$258.36	$392.63	$410.59
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 / $3,538.86	Professional		$578.47	$2,126.71	$3,538.86
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $449.93 / $4,112.00 / $4,933.00	Facility		$449.93	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $410.59 / $449.93 / $573.78	Professional		$410.59	$449.93	$573.78
United Facility/Professional Facility Modifier Low / Median / High Price $3,296.00 / $7,500.00 / $10,556.00	Facility		$3,296.00	$7,500.00	$10,556.00
United Facility/Professional Professional Modifier Low / Median / High Price $466.06 / $578.42 / $782.14	Professional		$466.06	$578.42	$782.14