Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $4,897.79 / $22,387.21	Facility		$2,884.03	$4,897.79	$22,387.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $138.04 / $398.11	Professional		$112.20	$138.04	$398.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $194.98 / $194.98	Facility		$123.03	$194.98	$194.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $194.98 / $204.17	Professional		$33.11	$194.98	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $151.36 / $213.80	Professional		$114.82	$151.36	$213.80
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $2,884.03 / $4,897.79	Facility		$151.36	$2,884.03	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $154.88 / $218.78	Professional		$120.23	$154.88	$218.78
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $147.91 / $208.93	Professional		$138.04	$147.91	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $5,011.87 / $8,912.51	Facility		$2,511.89	$5,011.87	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $165.96 / $218.78	Professional		$134.90	$165.96	$218.78