Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $1,096.48 / $4,897.79	Facility		$162.18	$1,096.48	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $158.49 / $380.19	Professional		$114.82	$158.49	$380.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $194.98 / $194.98	Facility		$38.02	$194.98	$194.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $194.98 / $208.93	Professional		$38.02	$194.98	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $165.96 / $245.47	Professional		$117.49	$165.96	$245.47
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $489.78 / $4,897.79	Facility		$162.18	$489.78	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $181.97 / $302.00	Professional		$123.03	$181.97	$302.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $165.96 / $245.47	Professional		$131.83	$165.96	$245.47
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 $144.54 / $181.97 / $245.47	Professional		$144.54	$181.97	$245.47