Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $4,897.79	Facility		$2,041.74	$2,041.74	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $109.65 / $181.97	Professional		$93.33	$109.65	$181.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $154.88 / $154.88	Facility		$26.30	$154.88	$154.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $154.88 / $162.18	Professional		$31.62	$154.88	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $131.83 / $309.03	Professional		$91.20	$131.83	$309.03
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $2,041.74 / $4,897.79	Facility		$112.20	$2,041.74	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $117.49 / $162.18	Professional		$97.72	$117.49	$162.18
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $123.03 / $229.09	Professional		$89.13	$123.03	$229.09
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 $93.33 / $128.82 / $177.83	Professional		$93.33	$128.82	$177.83