Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $338.84 / $4,466.84	Facility		$123.03	$338.84	$4,466.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $239.88	Professional		$120.23	$120.23	$239.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $109.65 / $218.78	Facility		$58.88	$109.65	$218.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $50.12 / $50.12	Professional		$47.86	$50.12	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $346.74 / $2,951.21	Facility		$45.71	$346.74	$2,951.21
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $123.03 / $181.97	Professional		$120.23	$123.03	$181.97
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
United Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $30.20 / $120.23	Facility		$24.55	$30.20	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $131.83 / $151.36	Professional		$120.23	$131.83	$151.36