Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $4,897.79 / $4,897.79	Facility		$213.80	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $190.55 / $275.42	Professional		$154.88	$190.55	$275.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Facility		$467.74	$467.74	$467.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $467.74 / $467.74	Professional		$245.47	$467.74	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $229.09 / $251.19	Professional		$141.25	$229.09	$251.19
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $549.54 / $4,897.79	Facility		$213.80	$549.54	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $199.53 / $281.84	Professional		$154.88	$199.53	$281.84
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $218.78 / $295.12	Professional		$141.25	$218.78	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,258.93 / $2,041.74	Facility		$467.74	$1,258.93	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $229.09 / $302.00	Professional		$186.21	$229.09	$302.00