Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $2,884.03 / $4,897.79	Facility		$102.33	$2,884.03	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $107.15 / $218.78	Professional		$58.88	$107.15	$218.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $102.33	Facility		$64.57	$64.57	$102.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $97.72 / $102.33	Professional		$17.38	$97.72	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $109.65 / $331.13	Professional		$63.10	$109.65	$331.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $1,348.96 / $4,897.79	Facility		$147.91	$1,348.96	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $144.54 / $213.80	Professional		$67.61	$144.54	$213.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $104.71 / $275.42	Professional		$63.10	$104.71	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,258.93 / $2,041.74	Facility		$467.74	$1,258.93	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $120.23 / $173.78	Professional		$72.44	$120.23	$173.78