Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $4,897.79 / $4,897.79	Facility		$120.23	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $123.03 / $213.80	Professional		$87.10	$123.03	$213.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $151.36	Facility		$95.50	$95.50	$151.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $144.54 / $151.36	Professional		$30.20	$144.54	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $138.04 / $501.19	Professional		$91.20	$138.04	$501.19
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $416.87 / $4,897.79	Facility		$154.88	$416.87	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $151.36 / $204.17	Professional		$100.00	$151.36	$204.17
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $128.82 / $416.87	Professional		$91.20	$128.82	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,202.26 / $2,089.30	Facility		$478.63	$1,202.26	$2,089.30
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $134.90 / $186.21	Professional		$104.71	$134.90	$186.21