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 $107.15 / $125.89 / $204.17	Professional		$107.15	$125.89	$204.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $177.83	Facility		$35.48	$35.48	$177.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $177.83 / $177.83	Professional		$109.65	$177.83	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $151.36 / $354.81	Professional		$109.65	$151.36	$354.81
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $2,041.74 / $4,897.79	Facility		$128.82	$2,041.74	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $131.83 / $181.97	Professional		$109.65	$131.83	$181.97
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $141.25 / $263.03	Professional		$102.33	$141.25	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $5,754.40 / $12,302.69	Facility		$794.33	$5,754.40	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $144.54 / $204.17	Professional		$109.65	$144.54	$204.17