Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $2,041.74 / $4,897.79	Facility		$223.87	$2,041.74	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $162.18 / $251.19	Professional		$70.79	$162.18	$251.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $109.65 / $109.65	Facility		$69.18	$109.65	$109.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $109.65 / $158.49	Professional		$21.88	$109.65	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $162.18 / $346.74	Professional		$74.13	$162.18	$346.74
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $630.96 / $4,897.79	Facility		$194.98	$630.96	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $181.97 / $269.15	Professional		$70.79	$181.97	$269.15
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $154.88 / $281.84	Professional		$74.13	$154.88	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $2,630.27 / $5,623.41	Facility		$588.84	$2,630.27	$5,623.41
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $147.91 / $263.03	Professional		$75.86	$147.91	$263.03