Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $426.58 / $4,897.79	Facility		$107.15	$426.58	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $89.13 / $190.55	Professional		$52.48	$89.13	$190.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $53.70 / $53.70	Facility		$14.45	$53.70	$53.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $85.11 / $85.11	Professional		$53.70	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $91.20 / $141.25	Professional		$58.88	$91.20	$141.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $316.23 / $4,897.79	Facility		$95.50	$316.23	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $100.00 / $162.18	Professional		$57.54	$100.00	$162.18
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $91.20 / $138.04	Professional		$64.57	$91.20	$138.04
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $831.76 / $1,862.09	Facility		$158.49	$831.76	$1,862.09
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $93.33 / $131.83	Professional		$67.61	$93.33	$131.83