Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $2,884.03 / $4,897.79	Facility		$213.80	$2,884.03	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $257.04 / $724.44	Professional		$158.49	$257.04	$724.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Facility		$54.95	$54.95	$54.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $416.87 / $426.58	Professional		$173.78	$416.87	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $281.84 / $870.96	Professional		$186.21	$281.84	$870.96
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $724.44 / $4,897.79	Facility		$213.80	$724.44	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $288.40 / $467.74	Professional		$177.83	$288.40	$467.74
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $257.04 / $776.25	Professional		$186.21	$257.04	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $3,019.95 / $6,025.60	Facility		$1,258.93	$3,019.95	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $257.04 / $354.81	Professional		$186.21	$257.04	$354.81