Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $2,041.74 / $4,897.79	Facility		$128.82	$2,041.74	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $117.49 / $288.40	Professional		$87.10	$117.49	$288.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $204.17	Facility		$27.54	$27.54	$204.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $204.17 / $204.17	Professional		$85.11	$204.17	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $147.91 / $457.09	Professional		$100.00	$147.91	$457.09
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $2,041.74 / $4,897.79	Facility		$128.82	$2,041.74	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $173.78 / $389.05	Professional		$89.13	$173.78	$389.05
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $147.91 / $457.09	Professional		$100.00	$147.91	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,238.72 / $4,466.84	Facility		$954.99	$2,238.72	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $154.88 / $457.09	Professional		$109.65	$154.88	$457.09