Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $4,073.80 / $4,897.79	Facility		$691.83	$4,073.80	$4,897.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $95.50	Facility		$30.90	$30.90	$95.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $2,630.27 / $4,897.79	Facility		$128.82	$2,630.27	$4,897.79
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,258.93 / $2,041.74	Facility		$467.74	$1,258.93	$2,041.74