Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $2,041.74 / $4,897.79	Facility		$239.88	$2,041.74	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $173.78 / $275.42	Professional		$79.43	$173.78	$275.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $123.03 / $128.82	Professional		$24.55	$123.03	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $194.98 / $398.11	Professional		$87.10	$194.98	$398.11
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $537.03 / $4,897.79	Facility		$181.97	$537.03	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $186.21 / $275.42	Professional		$79.43	$186.21	$275.42
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $186.21 / $331.13	Professional		$83.18	$186.21	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $2,398.83 / $5,623.41	Facility		$588.84	$2,398.83	$5,623.41
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $173.78 / $302.00	Professional		$87.10	$173.78	$302.00