Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $2,454.71 / $4,897.79	Facility		$251.19	$2,454.71	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $194.98 / $346.74	Professional		$128.82	$194.98	$346.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $194.98 / $194.98	Facility		$38.90	$194.98	$194.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $295.12 / $309.03	Professional		$194.98	$295.12	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $165.96 / $389.05	Professional		$102.33	$165.96	$389.05
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $2,041.74 / $4,897.79	Facility		$251.19	$2,041.74	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $199.53 / $309.03	Professional		$144.54	$199.53	$309.03
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $141.25 / $223.87	Professional		$102.33	$141.25	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,235.94 / $6,309.57	Facility		$1,513.56	$3,235.94	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $186.21 / $257.04	Professional		$134.90	$186.21	$257.04