Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $398.11 / $4,897.79	Facility		$147.91	$398.11	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $199.53 / $380.19	Professional		$107.15	$199.53	$380.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $104.71 / $104.71	Facility		$33.11	$104.71	$104.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $177.83 / $331.13	Professional		$151.36	$177.83	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $208.93 / $416.87	Professional		$112.20	$208.93	$416.87
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $436.52 / $4,897.79	Facility		$147.91	$436.52	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $204.17 / $346.74	Professional		$109.65	$204.17	$346.74
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $186.21 / $371.54	Professional		$112.20	$186.21	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $794.33 / $1,737.80	Facility		$144.54	$794.33	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $177.83 / $288.40	Professional		$112.20	$177.83	$288.40