Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $4,073.80 / $4,897.79	Facility		$371.54	$4,073.80	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $323.59 / $616.60	Professional		$257.04	$323.59	$616.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $426.58 / $426.58	Facility		$269.15	$426.58	$426.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $512.86 / $645.65	Professional		$426.58	$512.86	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $371.54 / $602.56	Professional		$234.42	$371.54	$602.56
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $1,258.93 / $4,897.79	Facility		$371.54	$1,258.93	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $371.54 / $645.65	Professional		$269.15	$371.54	$645.65
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $346.74 / $549.54	Professional		$223.87	$346.74	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $3,981.07 / $7,244.36	Facility		$1,258.93	$3,981.07	$7,244.36
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $363.08 / $478.63	Professional		$281.84	$363.08	$478.63