Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $2,041.74 / $4,897.79	Facility		$173.78	$2,041.74	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $194.98 / $346.74	Professional		$93.33	$194.98	$346.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $158.49	Facility		$31.62	$31.62	$158.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $158.49 / $158.49	Professional		$31.62	$158.49	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $194.98 / $389.05	Professional		$93.33	$194.98	$389.05
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $1,905.46 / $4,897.79	Facility		$234.42	$1,905.46	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $245.47 / $346.74	Professional		$100.00	$245.47	$346.74
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $186.21 / $398.11	Professional		$89.13	$186.21	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,778.28 / $4,073.80	Facility		$691.83	$1,778.28	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $208.93 / $316.23	Professional		$104.71	$208.93	$316.23