Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $2,041.74 / $4,897.79	Facility		$131.83	$2,041.74	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $95.50 / $165.96	Professional		$44.67	$95.50	$165.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $44.67 / $107.15	Facility		$12.30	$44.67	$107.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $75.86 / $165.96	Professional		$42.66	$75.86	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $112.20 / $177.83	Professional		$52.48	$112.20	$177.83
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $2,041.74 / $4,897.79	Facility		$131.83	$2,041.74	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $117.49 / $173.78	Professional		$47.86	$117.49	$173.78
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $114.82 / $154.88	Professional		$56.23	$114.82	$154.88
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,862.09 / $4,073.80	Facility		$549.54	$1,862.09	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $102.33 / $151.36	Professional		$54.95	$102.33	$151.36