Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $292.10 / $2,056.00 / $4,933.00	Facility		$292.10	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.59 / $292.10 / $292.10	Professional		$153.59	$292.10	$292.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $364.57 / $425.38 / $573.28	Facility		$364.57	$425.38	$573.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.30 / $357.71 / $715.43	Professional		$97.30	$357.71	$715.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.23 / $218.23 / $261.45	Professional		$218.23	$218.23	$261.45
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $215.84 / $2,056.00 / $4,933.00	Facility		$215.84	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $215.84 / $222.75 / $292.10	Professional		$215.84	$222.75	$292.10
United Facility/Professional Facility Modifier Low / Median / High Price $773.00 / $3,005.00 / $4,594.00	Facility		$773.00	$3,005.00	$4,594.00
United Facility/Professional Professional Modifier Low / Median / High Price $174.73 / $256.45 / $451.06	Professional		$174.73	$256.45	$451.06