Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,897.79	Facility		$4,073.80	$4,073.80	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $162.18 / $229.09	Professional		$131.83	$162.18	$229.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $123.03	Facility		$39.81	$39.81	$123.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $190.55 / $199.53	Professional		$123.03	$190.55	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $181.97 / $234.42	Professional		$141.25	$181.97	$234.42
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $4,073.80 / $5,754.40	Facility		$181.97	$4,073.80	$5,754.40
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $169.82 / $234.42	Professional		$131.83	$169.82	$234.42
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $173.78 / $245.47	Professional		$141.25	$173.78	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $9,120.11 / $14,791.08	Facility		$4,265.80	$9,120.11	$14,791.08
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $199.53 / $257.04	Professional		$154.88	$199.53	$257.04