Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.81 / $46.81 / $46.81	Facility		$46.81	$46.81	$46.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.81 / $46.81 / $46.81	Professional		$46.81	$46.81	$46.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $113.33 / $132.19 / $186.00	Facility		$113.33	$132.19	$186.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.05 / $162.65 / $351.34	Professional		$52.05	$162.65	$351.34
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $46.81 / $46.81 / $46.81	Facility		$46.81	$46.81	$46.81
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $46.81 / $46.81 / $230.16	Professional		$46.81	$46.81	$230.16