Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $2,041.74 / $4,897.79	Facility		$346.74	$2,041.74	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $407.38 / $724.44	Professional		$239.88	$407.38	$724.44
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $302.00 / $512.86 / $724.44	Professional	50	$302.00	$512.86	$724.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $562.34 / $562.34	Facility		$234.42	$562.34	$562.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $562.34 / $562.34	Professional		$380.19	$562.34	$562.34
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $602.56 / $602.56 / $602.56	Professional	50	$602.56	$602.56	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $354.81 / $831.76	Professional		$199.53	$354.81	$831.76
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $2,041.74 / $4,897.79	Facility		$457.09	$2,041.74	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $446.68 / $676.08	Professional		$251.19	$446.68	$676.08
Health Alliance Plan Facility/Professional Professional Modifier 50 Low / Median / High Price $302.00 / $512.86 / $724.44	Professional	50	$302.00	$512.86	$724.44
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $309.03 / $501.19	Professional		$204.17	$309.03	$501.19
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 $275.42 / $416.87 / $588.84	Professional		$275.42	$416.87	$588.84