Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $2,041.74 / $4,897.79	Facility		$269.15	$2,041.74	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $186.21 / $295.12	Professional		$95.50	$186.21	$295.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $151.36 / $151.36	Facility		$95.50	$151.36	$151.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $151.36 / $158.49	Professional		$89.13	$151.36	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $190.55 / $407.38	Professional		$97.72	$190.55	$407.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,348.96 / $4,897.79	Facility		$229.09	$1,348.96	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $213.80 / $302.00	Professional		$97.72	$213.80	$302.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $181.97 / $331.13	Professional		$97.72	$181.97	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $4,365.16 / $7,762.47	Facility		$630.96	$4,365.16	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $173.78 / $309.03	Professional		$102.33	$173.78	$309.03