Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $2,041.74 / $4,897.79	Facility		$112.20	$2,041.74	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $93.33 / $147.91	Professional		$69.18	$93.33	$147.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $107.15 / $107.15	Facility		$21.38	$107.15	$107.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $151.36 / $158.49	Professional		$66.07	$151.36	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $83.18 / $181.97	Professional		$56.23	$83.18	$181.97
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $2,041.74 / $4,897.79	Facility		$100.00	$2,041.74	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $97.72 / $131.83	Professional		$79.43	$97.72	$131.83
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $70.79 / $104.71	Professional		$58.88	$70.79	$104.71
United Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $891.25 / $1,737.80	Facility		$234.42	$891.25	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $95.50 / $125.89	Professional		$75.86	$95.50	$125.89