Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $4,897.79 / $6,918.31	Facility		$251.19	$4,897.79	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $213.80 / $457.09	Professional		$173.78	$213.80	$457.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $302.00	Facility		$51.29	$51.29	$302.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $302.00 / $302.00	Professional		$190.55	$302.00	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $263.03 / $524.81	Professional		$190.55	$263.03	$524.81
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $1,318.26 / $6,918.31	Facility		$199.53	$1,318.26	$6,918.31
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $218.78 / $346.74	Professional		$181.97	$218.78	$346.74
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $229.09 / $436.52	Professional		$165.96	$229.09	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $4,466.84 / $8,709.64	Facility		$630.96	$4,466.84	$8,709.64
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $234.42 / $331.13	Professional		$177.83	$234.42	$331.13