Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $4,897.79 / $4,897.79	Facility		$169.82	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $151.36 / $251.19	Professional		$123.03	$151.36	$251.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $398.11 / $398.11	Facility		$199.53	$398.11	$398.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $380.19 / $398.11	Professional		$120.23	$380.19	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $151.36 / $229.09	Professional		$97.72	$151.36	$229.09
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $190.55 / $4,897.79	Facility		$162.18	$190.55	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $91.20 / $199.53	Professional		$64.57	$91.20	$199.53
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $120.23 / $234.42	Professional		$97.72	$120.23	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $1,202.26 / $2,041.74	Facility		$199.53	$1,202.26	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $87.10 / $151.36	Professional		$70.79	$87.10	$151.36