Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $281.84 / $575.44	Facility		$138.04	$281.84	$575.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $131.83 / $131.83	Professional		$125.89	$131.83	$131.83
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $158.49 / $467.74	Facility		$144.54	$158.49	$467.74
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $158.49 / $213.80	Professional		$141.25	$158.49	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $190.55 / $194.98	Professional		$158.49	$190.55	$194.98