Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $4,897.79 / $4,897.79	Facility		$218.78	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $181.97 / $295.12	Professional		$154.88	$181.97	$295.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $50.12 / $158.49	Facility		$42.66	$50.12	$158.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $165.96 / $269.15	Professional		$47.86	$165.96	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $223.87 / $501.19	Professional		$162.18	$223.87	$501.19
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $478.63 / $4,897.79	Facility		$173.78	$478.63	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $186.21 / $257.04	Professional		$158.49	$186.21	$257.04
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $199.53 / $380.19	Professional		$144.54	$199.53	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $1,202.26 / $2,041.74	Facility		$125.89	$1,202.26	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $208.93 / $295.12	Professional		$162.18	$208.93	$295.12