Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.00 / $240.00 / $240.00	Facility		$240.00	$240.00	$240.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $240.00 / $240.00	Professional		$240.00	$240.00	$240.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $470.23 / $548.07 / $742.54	Facility		$470.23	$548.07	$742.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $139.31 / $163.10	Professional		$27.86	$139.31	$163.10
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $240.00 / $240.00 / $240.00	Facility		$240.00	$240.00	$240.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $146.56 / $240.00 / $240.00	Professional		$146.56	$240.00	$240.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,906.00 / $4,645.00 / $6,740.00	Facility		$1,906.00	$4,645.00	$6,740.00
United Facility/Professional Professional Modifier Low / Median / High Price $267.27 / $340.39 / $446.69	Professional		$267.27	$340.39	$446.69