Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $4,897.79	Facility		$2,041.74	$2,041.74	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $89.13 / $144.54	Professional		$77.62	$89.13	$144.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $72.44	Facility		$19.95	$19.95	$72.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $173.78 / $173.78	Professional		$72.44	$173.78	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $107.15 / $147.91	Professional		$74.13	$107.15	$147.91
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $2,041.74 / $4,897.79	Facility		$102.33	$2,041.74	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $97.72 / $147.91	Professional		$77.62	$97.72	$147.91
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $109.65 / $147.91	Professional		$87.10	$109.65	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,890.45 / $6,025.60	Facility		$1,698.24	$3,890.45	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $109.65 / $154.88	Professional		$89.13	$109.65	$154.88