Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $363.08	Facility		$194.98	$194.98	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $245.47 / $245.47	Professional		$112.20	$245.47	$245.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $371.54 / $660.69	Facility		$257.04	$371.54	$660.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $257.04 / $269.15	Professional		$239.88	$257.04	$269.15
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $309.03 / $363.08	Facility		$186.21	$309.03	$363.08
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $245.47 / $257.04	Professional		$112.20	$245.47	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $281.84 / $549.54	Facility		$147.91	$281.84	$549.54