Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $4,897.79	Facility		$2,041.74	$2,041.74	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $131.83 / $269.15	Professional		$114.82	$131.83	$269.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $120.23 / $120.23	Facility		$38.02	$120.23	$120.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $190.55 / $190.55	Professional		$95.50	$190.55	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $169.82 / $407.38	Professional		$123.03	$169.82	$407.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $2,041.74 / $4,897.79	Facility		$165.96	$2,041.74	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $154.88 / $239.88	Professional		$114.82	$154.88	$239.88
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $151.36 / $407.38	Professional		$97.72	$151.36	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,258.93 / $2,041.74	Facility		$302.00	$1,258.93	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $162.18 / $239.88	Professional		$131.83	$162.18	$239.88