Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $428.95 / $4,933.00 / $4,933.00	Facility		$428.95	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.81 / $428.95 / $475.68	Professional		$277.81	$428.95	$475.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $688.39 / $688.39 / $688.39	Professional		$688.39	$688.39	$688.39
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $428.95 / $4,933.00 / $4,933.00	Facility		$428.95	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $428.95 / $472.51 / $590.04	Professional		$428.95	$472.51	$590.04
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 $467.86 / $595.86 / $804.88	Professional		$467.86	$595.86	$804.88