Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $2,041.74 / $4,897.79	Facility		$316.23	$2,041.74	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $229.09 / $363.08	Professional		$147.91	$229.09	$363.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $371.54	Facility		$48.98	$48.98	$371.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $245.47 / $389.05	Professional		$48.98	$245.47	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $239.88 / $457.09	Professional		$154.88	$239.88	$457.09
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $2,041.74 / $4,897.79	Facility		$269.15	$2,041.74	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $257.04 / $389.05	Professional		$154.88	$257.04	$389.05
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $223.87 / $436.52	Professional		$151.36	$223.87	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $2,238.72 / $4,466.84	Facility		$776.25	$2,238.72	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $239.88 / $338.84	Professional		$165.96	$239.88	$338.84