Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $2,041.74 / $4,897.79	Facility		$169.82	$2,041.74	$4,897.79
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $660.69 / $660.69 / $660.69	Facility	50	$660.69	$660.69	$660.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $125.89 / $229.09	Professional		$74.13	$125.89	$229.09
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $199.53 / $346.74 / $524.81	Professional	50	$199.53	$346.74	$524.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $114.82 / $120.23	Professional		$26.30	$114.82	$120.23
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $213.80 / $213.80 / $213.80	Professional	50	$213.80	$213.80	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $123.03 / $218.78	Professional		$70.79	$123.03	$218.78
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $2,041.74 / $4,897.79	Facility		$154.88	$2,041.74	$4,897.79
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $660.69 / $660.69 / $660.69	Facility	50	$660.69	$660.69	$660.69
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $151.36 / $239.88	Professional		$83.18	$151.36	$239.88
Health Alliance Plan Facility/Professional Professional Modifier 50 Low / Median / High Price $199.53 / $199.53 / $346.74	Professional	50	$199.53	$199.53	$346.74
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $120.23 / $208.93	Professional		$67.61	$120.23	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,778.28 / $4,073.80	Facility		$537.03	$1,778.28	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $134.90 / $194.98	Professional		$83.18	$134.90	$194.98