Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $51.29	Professional		$50.12	$50.12	$51.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $31.62 / $75.86	Facility		$17.38	$31.62	$75.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $54.95 / $54.95	Professional		$52.48	$54.95	$54.95
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
United Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $46.77 / $165.96	Facility		$33.88	$46.77	$165.96