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 $46.77 / $114.82 / $199.53	Professional		$46.77	$114.82	$199.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $114.82 / $114.82	Facility		$75.86	$114.82	$114.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $114.82 / $114.82	Professional		$46.77	$114.82	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $114.82 / $275.42	Professional		$51.29	$114.82	$275.42
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 $51.29 / $128.82 / $194.98	Professional		$51.29	$128.82	$194.98
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $107.15 / $269.15	Professional		$48.98	$107.15	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,258.93 / $2,041.74	Facility		$467.74	$1,258.93	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $104.71 / $245.47	Professional		$52.48	$104.71	$245.47