Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $2,041.74 / $4,897.79	Facility		$363.08	$2,041.74	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $213.80 / $380.19	Professional		$79.43	$213.80	$380.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $79.43	Facility		$21.88	$21.88	$79.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $128.82 / $181.97	Professional		$79.43	$128.82	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $223.87 / $537.03	Professional		$85.11	$223.87	$537.03
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $676.08 / $4,897.79	Facility		$229.09	$676.08	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $269.15 / $389.05	Professional		$81.28	$269.15	$389.05
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $218.78 / $426.58	Professional		$85.11	$218.78	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $2,454.71 / $5,623.41	Facility		$588.84	$2,454.71	$5,623.41
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $213.80 / $380.19	Professional		$87.10	$213.80	$380.19