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 $87.10 / $125.89 / $251.19	Professional		$87.10	$125.89	$251.19
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $524.81 / $575.44 / $831.76	Professional	50	$524.81	$575.44	$831.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $239.88 / $239.88	Professional		$100.00	$239.88	$239.88
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $218.78 / $346.74 / $346.74	Professional	50	$218.78	$346.74	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $125.89 / $251.19	Professional		$83.18	$125.89	$251.19
Health Alliance Plan 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
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $138.04 / $251.19	Professional		$93.33	$138.04	$251.19
Health Alliance Plan Facility/Professional Professional Modifier 50 Low / Median / High Price $524.81 / $537.03 / $575.44	Professional	50	$524.81	$537.03	$575.44
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $125.89 / $213.80	Professional		$81.28	$125.89	$213.80
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $870.96 / $1,737.80	Facility		$229.09	$870.96	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $114.82 / $165.96	Professional		$91.20	$114.82	$165.96