Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $1,737.80 / $1,862.09	Facility		$48.98	$1,737.80	$1,862.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $41.69 / $63.10	Professional		$36.31	$41.69	$63.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $60.26 / $60.26	Facility		$12.02	$60.26	$60.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $60.26 / $60.26	Professional		$13.18	$60.26	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $57.54 / $75.86	Professional		$41.69	$57.54	$75.86
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $112.20 / $1,862.09	Facility		$44.67	$112.20	$1,862.09
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $48.98 / $63.10	Professional		$38.90	$48.98	$63.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $57.54 / $70.79	Professional		$45.71	$57.54	$70.79
United Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $1,000.00 / $1,862.09	Facility		$338.84	$1,000.00	$1,862.09
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $52.48 / $70.79	Professional		$41.69	$52.48	$70.79