Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.39 / $2,056.00 / $4,933.00	Facility		$125.39	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.20 / $125.39 / $125.39	Professional		$79.20	$125.39	$125.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $624.08 / $624.08 / $624.08	Facility		$624.08	$624.08	$624.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $592.88 / $649.04 / $842.51	Professional		$592.88	$649.04	$842.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.77 / $79.77 / $90.65	Professional		$79.77	$79.77	$90.65
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $63.67 / $2,056.00 / $4,933.00	Facility		$63.67	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $63.67 / $65.69 / $2,627.26	Professional		$63.67	$65.69	$2,627.26
United Facility/Professional Facility Modifier Low / Median / High Price $773.00 / $3,005.00 / $4,504.00	Facility		$773.00	$3,005.00	$4,504.00
United Facility/Professional Professional Modifier Low / Median / High Price $70.59 / $92.18 / $245.79	Professional		$70.59	$92.18	$245.79