Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.93 / $2,056.00 / $4,933.00	Facility		$89.93	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.18 / $89.93 / $100.31	Professional		$71.18	$89.93	$100.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $250.30 / $250.30 / $250.30	Facility		$250.30	$250.30	$250.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $237.79 / $262.82 / $312.88	Professional		$237.79	$262.82	$312.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.38 / $114.38 / $125.71	Professional		$114.38	$114.38	$125.71
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $66.23 / $2,056.00 / $4,933.00	Facility		$66.23	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $66.23 / $67.98 / $89.93	Professional		$66.23	$67.98	$89.93
United Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $1,209.00 / $1,844.00	Facility		$125.00	$1,209.00	$1,844.00
United Facility/Professional Professional Modifier Low / Median / High Price $92.22 / $117.16 / $149.13	Professional		$92.22	$117.16	$149.13