Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $402.04 / $4,933.00 / $4,933.00	Facility		$402.04	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.17 / $402.04 / $445.83	Professional		$260.17	$402.04	$445.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $644.16 / $644.16 / $644.16	Professional		$644.16	$644.16	$644.16
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $402.04 / $4,933.00 / $4,933.00	Facility		$402.04	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $402.04 / $442.16 / $552.14	Professional		$402.04	$442.16	$552.14
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 $438.14 / $558.64 / $736.93	Professional		$438.14	$558.64	$736.93