Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $2,041.74 / $4,897.79	Facility		$213.80	$2,041.74	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $147.91 / $223.87	Professional		$85.11	$147.91	$223.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $128.82 / $128.82	Professional		$21.88	$128.82	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $128.82 / $257.04	Professional		$89.13	$128.82	$257.04
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $2,041.74 / $4,897.79	Facility		$125.89	$2,041.74	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $154.88 / $218.78	Professional		$91.20	$154.88	$218.78
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $138.04 / $251.19	Professional		$93.33	$138.04	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,819.70 / $4,073.80	Facility		$524.81	$1,819.70	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $138.04 / $213.80	Professional		$100.00	$138.04	$213.80