Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $2,041.74 / $4,897.79	Facility		$93.33	$2,041.74	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $72.44 / $131.83	Professional		$40.74	$72.44	$131.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $12.30 / $61.66	Facility		$10.47	$12.30	$61.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $61.66 / $120.23	Professional		$38.90	$61.66	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $69.18 / $117.49	Professional		$42.66	$69.18	$117.49
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $2,041.74 / $4,897.79	Facility		$75.86	$2,041.74	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $79.43 / $128.82	Professional		$43.65	$79.43	$128.82
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $69.18 / $114.82	Professional		$43.65	$69.18	$114.82
United Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $831.76 / $1,862.09	Facility		$123.03	$831.76	$1,862.09
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $70.79 / $112.20	Professional		$47.86	$70.79	$112.20