Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $4,897.79 / $4,897.79	Facility		$208.93	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $245.47 / $398.11	Professional		$151.36	$245.47	$398.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $158.49 / $257.04	Facility		$79.43	$158.49	$257.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $257.04 / $257.04	Professional		$151.36	$257.04	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $251.19 / $489.78	Professional		$162.18	$251.19	$489.78
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $812.83 / $4,897.79	Facility		$302.00	$812.83	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $309.03 / $426.58	Professional		$165.96	$309.03	$426.58
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $239.88 / $478.63	Professional		$138.04	$239.88	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $794.33 / $1,737.80	Facility		$123.03	$794.33	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $251.19 / $354.81	Professional		$169.82	$251.19	$354.81