Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.22 / $59.22 / $59.22	Facility		$59.22	$59.22	$59.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.36 / $59.22 / $92.72	Professional		$38.36	$59.22	$92.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $116.37 / $246.15 / $504.15	Facility		$116.37	$246.15	$504.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.53 / $90.11 / $107.27	Professional		$81.53	$90.11	$107.27
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $59.22 / $258.85 / $258.85	Facility		$59.22	$258.85	$258.85
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $59.22 / $258.85 / $302.85	Professional		$59.22	$258.85	$302.85
United Facility/Professional Professional Modifier Low / Median / High Price $48.61 / $55.76 / $79.43	Professional		$48.61	$55.76	$79.43