Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $2,041.74 / $4,897.79	Facility		$93.33	$2,041.74	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $74.13 / $125.89	Professional		$56.23	$74.13	$125.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $18.20 / $56.23	Facility		$15.49	$18.20	$56.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $134.90 / $134.90	Professional		$81.28	$134.90	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $87.10 / $173.78	Professional		$58.88	$87.10	$173.78
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $954.99 / $4,897.79	Facility		$83.18	$954.99	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $79.43 / $120.23	Professional		$56.23	$79.43	$120.23
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $83.18 / $162.18	Professional		$57.54	$83.18	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $2,884.03 / $5,623.41	Facility		$588.84	$2,884.03	$5,623.41
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $85.11 / $125.89	Professional		$58.88	$85.11	$125.89