Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $331.13 / $4,897.79	Facility		$199.53	$331.13	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $165.96 / $338.84	Professional		$131.83	$165.96	$338.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $223.87	Facility		$138.04	$138.04	$223.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $275.42 / $331.13	Professional		$223.87	$275.42	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $173.78 / $309.03	Professional		$123.03	$173.78	$309.03
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $389.05 / $4,897.79	Facility		$194.98	$389.05	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $190.55 / $331.13	Professional		$138.04	$190.55	$331.13
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $173.78 / $281.84	Professional		$114.82	$173.78	$281.84
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 $141.25 / $173.78 / $229.09	Professional		$141.25	$173.78	$229.09