Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $1,659.59 / $4,897.79	Facility		$309.03	$1,659.59	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $234.42 / $724.44	Professional		$173.78	$234.42	$724.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $281.84 / $295.12	Professional		$50.12	$281.84	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $281.84 / $489.78	Professional		$181.97	$281.84	$489.78
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $1,659.59 / $4,897.79	Facility		$309.03	$1,659.59	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $257.04 / $660.69	Professional		$190.55	$257.04	$660.69
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $251.19 / $380.19	Professional		$208.93	$251.19	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,949.84 / $4,073.80	Facility		$676.08	$1,949.84	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $263.03 / $363.08	Professional		$213.80	$263.03	$363.08