Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.95 / $2,056.00 / $4,933.00	Facility		$43.95	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.68 / $43.95 / $43.95	Professional		$26.68	$43.95	$43.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.65 / $142.13 / $142.13	Facility		$38.65	$142.13	$142.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $149.24 / $252.94	Professional		$38.65	$149.24	$252.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.42 / $65.61 / $80.90	Professional		$15.42	$65.61	$80.90
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,056.00 / $2,056.00 / $4,933.00	Facility		$2,056.00	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $33.82 / $43.95 / $189.48	Professional		$33.82	$43.95	$189.48
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,428.00 / $2,029.00	Facility		$464.00	$1,428.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $25.41 / $30.37 / $73.26	Professional		$25.41	$30.37	$73.26