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 $120.23 / $141.25 / $218.78	Professional		$120.23	$141.25	$218.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $120.23 / $120.23	Facility		$33.11	$120.23	$120.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $181.97 / $194.98	Professional		$38.90	$181.97	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $177.83 / $389.05	Professional		$128.82	$177.83	$389.05
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $2,041.74 / $4,897.79	Facility		$138.04	$2,041.74	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $144.54 / $194.98	Professional		$120.23	$144.54	$194.98
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $154.88 / $295.12	Professional		$109.65	$154.88	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $1,202.26 / $2,041.74	Facility		$109.65	$1,202.26	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $173.78 / $257.04	Professional		$123.03	$173.78	$257.04