Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $2,041.74 / $4,897.79	Facility		$223.87	$2,041.74	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $169.82 / $288.40	Professional		$104.71	$169.82	$288.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $234.42 / $281.84	Professional		$102.33	$234.42	$281.84
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $263.03 / $263.03 / $416.87	Professional	50	$263.03	$263.03	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $144.54 / $346.74	Professional		$87.10	$144.54	$346.74
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 $112.20 / $173.78 / $263.03	Professional		$112.20	$173.78	$263.03
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $125.89 / $199.53	Professional		$87.10	$125.89	$199.53
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 $112.20 / $165.96 / $223.87	Professional		$112.20	$165.96	$223.87