Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $4,897.79 / $4,897.79	Facility		$75.86	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $104.71 / $173.78	Professional		$57.54	$104.71	$173.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $39.81	Facility		$14.45	$14.45	$39.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $63.10 / $72.44	Professional		$44.67	$63.10	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $91.20 / $165.96	Professional		$58.88	$91.20	$165.96
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $331.13 / $4,897.79	Facility		$123.03	$331.13	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $120.23 / $190.55	Professional		$58.88	$120.23	$190.55
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $91.20 / $165.96	Professional		$63.10	$91.20	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,148.15 / $1,862.09	Facility		$398.11	$1,148.15	$1,862.09
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $104.71 / $158.49	Professional		$64.57	$104.71	$158.49