Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $4,073.80 / $4,897.79	Facility		$281.84	$4,073.80	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $208.93 / $380.19	Professional		$144.54	$208.93	$380.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $257.04	Facility		$51.29	$51.29	$257.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $275.42 / $380.19	Professional		$158.49	$275.42	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $223.87 / $398.11	Professional		$158.49	$223.87	$398.11
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $4,073.80 / $4,897.79	Facility		$213.80	$4,073.80	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $234.42 / $354.81	Professional		$158.49	$234.42	$354.81
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $218.78 / $363.08	Professional		$141.25	$218.78	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $5,623.41 / $9,120.11	Facility		$2,570.40	$5,623.41	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $208.93 / $288.40	Professional		$162.18	$208.93	$288.40