Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $4,073.80 / $4,897.79	Facility		$776.25	$4,073.80	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $616.60 / $1,122.02	Professional		$537.03	$616.60	$1,122.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,412.54 / $1,412.54	Facility		$588.84	$1,412.54	$1,412.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,348.96 / $1,412.54	Professional		$933.25	$1,348.96	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $724.44 / $1,513.56	Professional		$446.68	$724.44	$1,513.56
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $4,073.80 / $4,897.79	Facility		$776.25	$4,073.80	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $630.96 / $933.25	Professional		$467.74	$630.96	$933.25
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $707.95 / $1,122.02	Professional		$446.68	$707.95	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $9,120.11 / $16,595.87	Facility		$5,495.41	$9,120.11	$16,595.87
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $676.08 / $891.25	Professional		$549.54	$676.08	$891.25