Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $4,897.79 / $4,897.79	Facility		$89.13	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $79.43 / $213.80	Professional		$66.07	$79.43	$213.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $95.50 / $100.00	Professional		$19.95	$95.50	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $83.18 / $128.82	Professional		$69.18	$83.18	$128.82
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $239.88 / $4,897.79	Facility		$89.13	$239.88	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $87.10 / $125.89	Professional		$67.61	$87.10	$125.89
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $83.18 / $117.49	Professional		$69.18	$83.18	$117.49
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 $77.62 / $95.50 / $123.03	Professional		$77.62	$95.50	$123.03