Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $2,041.74 / $4,897.79	Facility		$263.03	$2,041.74	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $186.21 / $288.40	Professional		$85.11	$186.21	$288.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $134.90 / $134.90	Facility		$26.92	$134.90	$134.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $134.90 / $134.90	Professional		$89.13	$134.90	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $199.53 / $398.11	Professional		$93.33	$199.53	$398.11
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $645.65 / $4,897.79	Facility		$218.78	$645.65	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $213.80 / $295.12	Professional		$85.11	$213.80	$295.12
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $190.55 / $331.13	Professional		$91.20	$190.55	$331.13
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 $93.33 / $177.83 / $309.03	Professional		$93.33	$177.83	$309.03