Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $949.48 / $4,112.00 / $4,933.00	Facility		$949.48	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $641.69 / $949.48 / $1,017.83	Professional		$641.69	$949.48	$1,017.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,437.90 / $4,010.20 / $5,406.07	Facility		$3,437.90	$4,010.20	$5,406.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $779.13 / $3,015.21 / $5,366.10	Professional		$779.13	$3,015.21	$5,366.10
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $978.43 / $4,112.00 / $4,933.00	Facility		$978.43	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $740.19 / $978.43 / $1,090.54	Professional		$740.19	$978.43	$1,090.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $5,048.00 / $8,884.00	Facility		$1,450.00	$5,048.00	$8,884.00
United Facility/Professional Professional Modifier Low / Median / High Price $885.83 / $1,269.48 / $2,136.82	Professional		$885.83	$1,269.48	$2,136.82