Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $4,897.79	Facility		$2,884.03	$2,884.03	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $151.36 / $295.12	Professional		$125.89	$151.36	$295.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $229.09 / $229.09	Facility		$144.54	$229.09	$229.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $229.09 / $229.09	Professional		$114.82	$229.09	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $239.88 / $602.56	Professional		$144.54	$239.88	$602.56
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $2,884.03 / $4,897.79	Facility		$186.21	$2,884.03	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $186.21 / $269.15	Professional		$151.36	$186.21	$269.15
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $181.97 / $562.34	Professional		$144.54	$181.97	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $1,000.00 / $1,862.09	Facility		$316.23	$1,000.00	$1,862.09
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $190.55 / $316.23	Professional		$144.54	$190.55	$316.23