Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $4,897.79	Facility		$2,041.74	$2,041.74	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $52.48 / $67.61	Professional		$19.95	$52.48	$67.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $181.97 / $190.55	Professional		$169.82	$181.97	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $38.90	Professional		$33.88	$33.88	$38.90
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $2,041.74 / $4,897.79	Facility		$48.98	$2,041.74	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $44.67 / $89.13	Professional		$19.50	$44.67	$89.13
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $794.33 / $1,737.80	Facility		$100.00	$794.33	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $24.55 / $97.72	Professional		$19.95	$24.55	$97.72