Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $2,884.03 / $4,897.79	Facility		$269.15	$2,884.03	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $204.17 / $331.13	Professional		$117.49	$204.17	$331.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $181.97 / $181.97	Professional		$141.25	$181.97	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $199.53 / $323.59	Professional		$123.03	$199.53	$323.59
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $2,884.03 / $4,897.79	Facility		$229.09	$2,884.03	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $234.42 / $323.59	Professional		$125.89	$234.42	$323.59
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $199.53 / $323.59	Professional		$131.83	$199.53	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,388.44 / $9,120.11	Facility		$1,513.56	$3,388.44	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $208.93 / $316.23	Professional		$131.83	$208.93	$316.23