Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.87 / $66.87 / $66.87	Facility		$66.87	$66.87	$66.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.79 / $65.31 / $66.87	Professional		$34.79	$65.31	$66.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.11 / $104.82 / $202.52	Facility		$54.11	$104.82	$202.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.13 / $36.26 / $47.07	Professional		$33.13	$36.26	$47.07
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $66.87 / $73.98 / $73.98	Facility		$66.87	$73.98	$73.98
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $66.87 / $73.98 / $97.02	Professional		$66.87	$73.98	$97.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,906.00 / $4,645.00 / $6,740.00	Facility		$1,906.00	$4,645.00	$6,740.00
United Facility/Professional Professional Modifier Low / Median / High Price $61.84 / $76.15 / $111.62	Professional		$61.84	$76.15	$111.62