Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.10 / $4,933.00 / $4,933.00	Facility		$238.10	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.70 / $223.28 / $238.10	Professional		$114.70	$223.28	$238.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,761.50 / $3,412.40 / $6,593.06	Facility		$1,761.50	$3,412.40	$6,593.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,078.33 / $1,180.48 / $1,532.36	Professional		$1,078.33	$1,180.48	$1,532.36
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $238.10 / $4,933.00 / $4,933.00	Facility		$238.10	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $238.10 / $292.26 / $379.93	Professional		$238.10	$292.26	$379.93
United Facility/Professional Facility Modifier Low / Median / High Price $951.55 / $951.55 / $951.55	Facility		$951.55	$951.55	$951.55
United Facility/Professional Professional Modifier Low / Median / High Price $202.55 / $247.21 / $374.40	Professional		$202.55	$247.21	$374.40