Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $2,884.03 / $4,897.79	Facility		$186.21	$2,884.03	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $177.83 / $288.40	Professional		$128.82	$177.83	$288.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $218.78 / $234.42	Professional		$131.83	$218.78	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $194.98 / $309.03	Professional		$138.04	$194.98	$309.03
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $2,884.03 / $4,897.79	Facility		$186.21	$2,884.03	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $190.55 / $257.04	Professional		$144.54	$190.55	$257.04
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $186.21 / $302.00	Professional		$144.54	$186.21	$302.00
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 $144.54 / $177.83 / $263.03	Professional		$144.54	$177.83	$263.03