Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $2,041.74 / $4,897.79	Facility		$194.98	$2,041.74	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $138.04 / $251.19	Professional		$58.88	$138.04	$251.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $138.04 / $138.04	Facility		$91.20	$138.04	$138.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $138.04 / $138.04	Professional		$91.20	$138.04	$138.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $138.04 / $323.59	Professional		$64.57	$138.04	$323.59
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $2,041.74 / $4,897.79	Facility		$144.54	$2,041.74	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $154.88 / $208.93	Professional		$61.66	$154.88	$208.93
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $125.89 / $288.40	Professional		$60.26	$125.89	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,258.93 / $2,041.74	Facility		$467.74	$1,258.93	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $141.25 / $239.88	Professional		$66.07	$141.25	$239.88