Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $2,041.74 / $4,897.79	Facility		$223.87	$2,041.74	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $165.96 / $263.03	Professional		$107.15	$165.96	$263.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $102.33	Facility		$27.54	$27.54	$102.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $162.18 / $162.18	Professional		$97.72	$162.18	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $177.83 / $380.19	Professional		$114.82	$177.83	$380.19
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $501.19 / $4,897.79	Facility		$169.82	$501.19	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $173.78 / $239.88	Professional		$107.15	$173.78	$239.88
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $169.82 / $371.54	Professional		$107.15	$169.82	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $933.25 / $1,737.80	Facility		$138.04	$933.25	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $173.78 / $269.15	Professional		$112.20	$173.78	$269.15