Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $269.15 / $3,162.28	Facility		$87.10	$269.15	$3,162.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $154.88 / $346.74	Professional		$112.20	$154.88	$346.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $194.98 / $331.13	Facility		$125.89	$194.98	$331.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $218.78 / $234.42	Professional		$117.49	$218.78	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $309.03 / $1,071.52	Facility		$229.09	$309.03	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $234.42 / $549.54	Professional		$128.82	$234.42	$549.54
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $269.15 / $3,162.28	Facility		$181.97	$269.15	$3,162.28
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $181.97 / $346.74	Professional		$128.82	$181.97	$346.74
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $309.03 / $1,071.52	Facility		$229.09	$309.03	$1,071.52
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $204.17 / $524.81	Professional		$125.89	$204.17	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $2,511.89 / $8,317.64	Facility		$138.04	$2,511.89	$8,317.64
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $190.55 / $512.86	Professional		$151.36	$190.55	$512.86