Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $4,897.79 / $4,897.79	Facility		$269.15	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $398.11 / $812.83	Professional		$190.55	$398.11	$812.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $316.23 / $338.84	Professional		$194.98	$316.23	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $389.05 / $870.96	Professional		$204.17	$389.05	$870.96
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,288.25 / $4,897.79	Facility		$478.63	$1,288.25	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $537.03 / $776.25	Professional		$208.93	$537.03	$776.25
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $380.19 / $831.76	Professional		$165.96	$380.19	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,162.28 / $6,025.60	Facility		$1,348.96	$3,162.28	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $389.05 / $602.56	Professional		$218.78	$389.05	$602.56