Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Facility		$4,897.79	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $2.00 / $7.94	Professional		$1.00	$2.00	$7.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $36.31 / $36.31	Facility		$22.91	$36.31	$36.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $36.31 / $36.31	Professional		$7.41	$36.31	$36.31
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $6,918.31	Facility		$4,897.79	$4,897.79	$6,918.31
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $2.00 / $36.31	Professional		$1.00	$2.00	$36.31
United Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $75.86 / $120.23	Facility		$47.86	$75.86	$120.23