Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $2,041.74 / $4,897.79	Facility		$218.78	$2,041.74	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $165.96 / $263.03	Professional		$120.23	$165.96	$263.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $213.80 / $302.00	Professional		$125.89	$213.80	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $181.97 / $309.03	Professional		$123.03	$181.97	$309.03
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $2,041.74 / $4,897.79	Facility		$190.55	$2,041.74	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $186.21 / $275.42	Professional		$128.82	$186.21	$275.42
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $165.96 / $269.15	Professional		$117.49	$165.96	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,951.21 / $5,623.41	Facility		$1,258.93	$2,951.21	$5,623.41
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $177.83 / $239.88	Professional		$138.04	$177.83	$239.88