Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $4,897.79 / $4,897.79	Facility		$107.15	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $87.10 / $144.54	Professional		$75.86	$87.10	$144.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $123.03 / $131.83	Professional		$81.28	$123.03	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $112.20 / $245.47	Professional		$81.28	$112.20	$245.47
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $229.09 / $4,897.79	Facility		$85.11	$229.09	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $91.20 / $123.03	Professional		$77.62	$91.20	$123.03
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $97.72 / $186.21	Professional		$69.18	$97.72	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $3,548.13 / $6,025.60	Facility		$467.74	$3,548.13	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $107.15 / $158.49	Professional		$77.62	$107.15	$158.49