Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $2,041.74 / $4,897.79	Facility		$229.09	$2,041.74	$4,897.79
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Facility	50	$2,041.74	$2,041.74	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $162.18 / $269.15	Professional		$102.33	$162.18	$269.15
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $263.03 / $263.03 / $263.03	Professional	50	$263.03	$263.03	$263.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $251.19 / $251.19	Facility		$165.96	$251.19	$251.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $165.96 / $251.19	Professional		$104.71	$165.96	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $169.82 / $281.84	Professional		$102.33	$169.82	$281.84
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $2,041.74 / $4,897.79	Facility		$194.98	$2,041.74	$4,897.79
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Facility	50	$2,041.74	$2,041.74	$2,041.74
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $190.55 / $275.42	Professional		$107.15	$190.55	$275.42
Health Alliance Plan Facility/Professional Professional Modifier 50 Low / Median / High Price $263.03 / $263.03 / $263.03	Professional	50	$263.03	$263.03	$263.03
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $165.96 / $281.84	Professional		$109.65	$165.96	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $831.76 / $1,862.09	Facility		$181.97	$831.76	$1,862.09
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $173.78 / $269.15	Professional		$112.20	$173.78	$269.15