Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $274.70 / $4,933.00 / $4,933.00	Facility		$274.70	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.62 / $274.70 / $525.77	Professional		$185.62	$274.70	$525.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.89 / $288.89 / $288.89	Professional		$288.89	$288.89	$288.89
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $274.70 / $4,933.00 / $4,933.00	Facility		$274.70	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $274.70 / $504.91 / $630.50	Professional		$274.70	$504.91	$630.50
United Facility/Professional Facility Modifier Low / Median / High Price $850.00 / $4,645.00 / $6,036.00	Facility		$850.00	$4,645.00	$6,036.00
United Facility/Professional Professional Modifier Low / Median / High Price $381.24 / $635.97 / $812.09	Professional		$381.24	$635.97	$812.09