Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $213.80	Professional		$125.89	$125.89	$213.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $263.03 / $537.03	Facility		$131.83	$263.03	$537.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $125.89 / $125.89	Professional		$120.23	$125.89	$125.89
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $147.91 / $426.58	Facility		$131.83	$147.91	$426.58
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $147.91 / $199.53	Professional		$125.89	$147.91	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $177.83 / $181.97	Professional		$147.91	$177.83	$181.97