Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $1,905.46 / $4,897.79	Facility		$331.13	$1,905.46	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $457.09 / $1,230.27	Professional		$288.40	$457.09	$1,230.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $467.74	Facility		$295.12	$295.12	$467.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $489.78 / $691.83	Professional		$295.12	$489.78	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $416.87 / $794.33	Professional		$295.12	$416.87	$794.33
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,230.27 / $4,897.79	Facility		$389.05	$1,230.27	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $501.19 / $891.25	Professional		$316.23	$501.19	$891.25
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $407.38 / $691.83	Professional		$234.42	$407.38	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,951.21 / $5,623.41	Facility		$1,258.93	$2,951.21	$5,623.41
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $426.58 / $575.44	Professional		$316.23	$426.58	$575.44