Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $4,897.79 / $4,897.79	Facility		$173.78	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $154.88 / $234.42	Professional		$128.82	$154.88	$234.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $194.98 / $194.98	Professional		$33.11	$194.98	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $204.17 / $323.59	Professional		$117.49	$204.17	$323.59
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $436.52 / $4,897.79	Facility		$173.78	$436.52	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $165.96 / $229.09	Professional		$128.82	$165.96	$229.09
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $177.83 / $323.59	Professional		$117.49	$177.83	$323.59
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 $151.36 / $199.53 / $302.00	Professional		$151.36	$199.53	$302.00