Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $186.21 / $245.47	Professional		$151.36	$186.21	$245.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility		$1,230.27	$1,230.27	$1,230.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,230.27 / $1,230.27	Professional		$1,047.13	$1,230.27	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Professional		$154.88	$154.88	$154.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $537.03 / $602.56	Facility		$162.18	$537.03	$602.56
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $213.80 / $288.40	Professional		$162.18	$213.80	$288.40
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Professional		$154.88	$154.88	$154.88
United Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $1,047.13 / $3,630.78	Facility		$239.88	$1,047.13	$3,630.78
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $218.78 / $302.00	Professional		$181.97	$218.78	$302.00