Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $100.00 / $177.83	Professional		$89.13	$100.00	$177.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $147.91	Professional		$93.33	$93.33	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $138.04 / $316.23	Professional		$104.71	$138.04	$316.23
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $263.03 / $295.12	Facility		$107.15	$263.03	$295.12
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $114.82 / $154.88	Professional		$97.72	$114.82	$154.88
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $128.82 / $162.18	Professional		$109.65	$128.82	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $4,265.80 / $6,309.57	Facility		$1,905.46	$4,265.80	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $123.03 / $169.82	Professional		$100.00	$123.03	$169.82