Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $218.78	Facility		$173.78	$173.78	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $218.78 / $218.78	Professional		$100.00	$218.78	$218.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $151.36 / $151.36	Facility		$10.96	$151.36	$151.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $151.36 / $151.36	Professional		$141.25	$151.36	$151.36
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $338.84 / $398.11	Facility		$138.04	$338.84	$398.11
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $154.88 / $218.78	Professional		$138.04	$154.88	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $281.84 / $549.54	Facility		$147.91	$281.84	$549.54