Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $4,897.79 / $6,918.31	Facility		$223.87	$4,897.79	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $204.17 / $302.00	Professional		$165.96	$204.17	$302.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $245.47 / $245.47	Professional		$48.98	$245.47	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $245.47 / $275.42	Professional		$151.36	$245.47	$275.42
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $588.84 / $6,918.31	Facility		$223.87	$588.84	$6,918.31
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $208.93 / $295.12	Professional		$165.96	$208.93	$295.12
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $223.87 / $316.23	Professional		$151.36	$223.87	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $10,000.00 / $18,620.87	Facility		$5,011.87	$10,000.00	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $245.47 / $323.59	Professional		$194.98	$245.47	$323.59