Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $25.12 / $25.12	Facility		$23.99	$25.12	$25.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $25.12	Professional		$23.99	$23.99	$25.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $52.48 / $107.15	Facility		$25.70	$52.48	$107.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $24.55 / $24.55	Professional		$23.44	$24.55	$24.55
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $29.51 / $85.11	Facility		$26.30	$29.51	$85.11
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $29.51 / $39.81	Professional		$23.99	$29.51	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $35.48 / $36.31	Professional		$29.51	$35.48	$36.31