Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.65 / $4,933.00 / $4,933.00	Facility		$1,174.65	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $929.47 / $1,174.65 / $1,342.03	Professional		$929.47	$1,174.65	$1,342.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,135.49 / $1,135.49 / $4,174.62	Facility		$1,135.49	$1,135.49	$4,174.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,135.49 / $6,345.42 / $7,681.30	Professional		$1,135.49	$6,345.42	$7,681.30
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,174.65 / $1,304.96 / $6,906.00	Facility		$1,174.65	$1,304.96	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,174.65 / $1,304.96 / $1,550.88	Professional		$1,174.65	$1,304.96	$1,550.88
United Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $10,192.00 / $16,579.00	Facility		$5,000.00	$10,192.00	$16,579.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,274.40 / $1,552.44 / $2,049.21	Professional		$1,274.40	$1,552.44	$2,049.21