Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $2,041.74 / $4,897.79	Facility		$158.49	$2,041.74	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $123.03 / $186.21	Professional		$95.50	$123.03	$186.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $144.54 / $218.78	Facility		$24.55	$144.54	$218.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $199.53 / $218.78	Professional		$93.33	$199.53	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $134.90 / $204.17	Professional		$91.20	$134.90	$204.17
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $2,041.74 / $4,897.79	Facility		$134.90	$2,041.74	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $138.04 / $190.55	Professional		$100.00	$138.04	$190.55
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $138.04 / $199.53	Professional		$107.15	$138.04	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $831.76 / $1,862.09	Facility		$190.55	$831.76	$1,862.09
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $144.54 / $194.98	Professional		$112.20	$144.54	$194.98