Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $4,897.79 / $4,897.79	Facility		$302.00	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $251.19 / $407.38	Professional		$213.80	$251.19	$407.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $218.78 / $346.74	Facility		$58.88	$218.78	$346.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $346.74 / $363.08	Professional		$218.78	$346.74	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $316.23 / $691.83	Professional		$223.87	$316.23	$691.83
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $676.08 / $4,897.79	Facility		$251.19	$676.08	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $263.03 / $354.81	Professional		$218.78	$263.03	$354.81
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $275.42 / $524.81	Professional		$199.53	$275.42	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $3,890.45 / $6,025.60	Facility		$467.74	$3,890.45	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $295.12 / $398.11	Professional		$223.87	$295.12	$398.11