Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $147.91 / $147.91	Facility		$83.18	$147.91	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $131.83 / $269.15	Professional		$100.00	$131.83	$269.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $186.21 / $316.23	Facility		$123.03	$186.21	$316.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $190.55 / $204.17	Professional		$112.20	$190.55	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $213.80 / $575.44	Professional		$112.20	$213.80	$575.44
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $398.11 / $6,165.95	Facility		$147.91	$398.11	$6,165.95
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $151.36 / $229.09	Professional		$112.20	$151.36	$229.09
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $181.97 / $630.96	Professional		$102.33	$181.97	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $2,511.89 / $8,317.64	Facility		$120.23	$2,511.89	$8,317.64
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $173.78 / $478.63	Professional		$131.83	$173.78	$478.63