Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $387.29 / $4,933.00 / $5,757.00	Facility		$387.29	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.63 / $387.29 / $504.62	Professional		$244.63	$387.29	$504.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38,589.83 / $52,748.92 / $121,643.21	Facility		$38,589.83	$52,748.92	$121,643.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,389.43 / $19,937.83 / $28,332.71	Professional		$3,389.43	$19,937.83	$28,332.71
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,104.63 / $4,933.00 / $5,757.00	Facility		$1,104.63	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $387.29 / $1,104.63 / $1,410.30	Professional		$387.29	$1,104.63	$1,410.30
United Facility/Professional Facility Modifier Low / Median / High Price $10,555.00 / $18,687.00 / $25,752.00	Facility		$10,555.00	$18,687.00	$25,752.00
United Facility/Professional Professional Modifier Low / Median / High Price $516.36 / $1,349.44 / $1,712.75	Professional		$516.36	$1,349.44	$1,712.75