Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $2,041.74 / $4,897.79	Facility		$302.00	$2,041.74	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $245.47 / $489.78	Professional		$190.55	$245.47	$489.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $398.11 / $489.78	Professional		$338.84	$398.11	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $263.03 / $457.09	Professional		$181.97	$263.03	$457.09
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $2,041.74 / $4,897.79	Facility		$302.00	$2,041.74	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $281.84 / $446.68	Professional		$204.17	$281.84	$446.68
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $257.04 / $407.38	Professional		$169.82	$257.04	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $794.33 / $1,737.80	Facility		$186.21	$794.33	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $257.04 / $338.84	Professional		$208.93	$257.04	$338.84