Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.08 / $102.08 / $4,933.00	Facility		$102.08	$102.08	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.71 / $102.08 / $102.08	Professional		$95.71	$102.08	$102.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,273.69 / $2,650.07 / $3,590.43	Facility		$2,273.69	$2,650.07	$3,590.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $362.52 / $1,332.81 / $2,132.48	Professional		$362.52	$1,332.81	$2,132.48
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $102.08 / $4,933.00 / $6,906.00	Facility		$102.08	$4,933.00	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $95.71 / $102.08 / $102.08	Professional		$95.71	$102.08	$102.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,524.00 / $5,708.00 / $8,884.00	Facility		$2,524.00	$5,708.00	$8,884.00
United Facility/Professional Professional Modifier Low / Median / High Price $109.04 / $138.59 / $179.44	Professional		$109.04	$138.59	$179.44