Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $4,897.79 / $4,897.79	Facility		$194.98	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $194.98 / $302.00	Professional		$114.82	$194.98	$302.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $1,258.93 / $1,258.93	Facility		$165.96	$1,258.93	$1,258.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $831.76 / $1,258.93	Professional		$524.81	$831.76	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $257.04	Professional		$234.42	$234.42	$257.04
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $549.54 / $4,897.79	Facility		$199.53	$549.54	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $204.17 / $295.12	Professional		$186.21	$204.17	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,778.28 / $4,073.80	Facility		$645.65	$1,778.28	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $229.09 / $309.03	Professional		$186.21	$229.09	$309.03