Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $432.24 / $2,056.00 / $4,933.00	Facility		$432.24	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.14 / $432.24 / $2,400.00	Professional		$292.14	$432.24	$2,400.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $425.60 / $577.41 / $1,330.54	Facility		$425.60	$577.41	$1,330.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $543.72 / $595.23 / $772.66	Professional		$543.72	$595.23	$772.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $585.91 / $585.91 / $701.99	Professional		$585.91	$585.91	$701.99
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $135.18 / $2,056.00 / $4,933.00	Facility		$135.18	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $135.18 / $139.97 / $432.24	Professional		$135.18	$139.97	$432.24
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,418.00 / $2,449.00	Facility		$464.00	$1,418.00	$2,449.00
United Facility/Professional Professional Modifier Low / Median / High Price $150.44 / $215.85 / $551.04	Professional		$150.44	$215.85	$551.04