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 $60.26 / $89.13 / $371.54	Professional		$60.26	$89.13	$371.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $141.25 / $141.25	Facility		$12.02	$141.25	$141.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $70.79 / $141.25	Professional		$60.26	$70.79	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $120.23	Professional		$109.65	$109.65	$120.23
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $2,041.74 / $4,897.79	Facility		$97.72	$2,041.74	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $95.50 / $138.04	Professional		$83.18	$95.50	$138.04
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,202.26 / $2,041.74	Facility		$302.00	$1,202.26	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $104.71 / $141.25	Professional		$85.11	$104.71	$141.25