Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $2,041.74 / $4,897.79	Facility		$245.47	$2,041.74	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $190.55 / $331.13	Professional		$158.49	$190.55	$331.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $407.38 / $407.38	Facility		$169.82	$407.38	$407.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $323.59 / $407.38	Professional		$275.42	$323.59	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $218.78 / $380.19	Professional		$147.91	$218.78	$380.19
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $2,041.74 / $4,897.79	Facility		$223.87	$2,041.74	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $218.78 / $302.00	Professional		$169.82	$218.78	$302.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $208.93 / $331.13	Professional		$138.04	$208.93	$331.13
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 $173.78 / $218.78 / $281.84	Professional		$173.78	$218.78	$281.84