Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $4,073.80 / $4,897.79	Facility		$407.38	$4,073.80	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $295.12 / $489.78	Professional		$169.82	$295.12	$489.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $275.42	Facility		$46.77	$46.77	$275.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $398.11 / $524.81	Professional		$275.42	$398.11	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $302.00 / $588.84	Professional		$173.78	$302.00	$588.84
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $4,073.80 / $4,897.79	Facility		$380.19	$4,073.80	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $354.81 / $501.19	Professional		$181.97	$354.81	$501.19
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $281.84 / $549.54	Professional		$151.36	$281.84	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,623.41 / $14,454.40	Facility		$2,398.83	$5,623.41	$14,454.40
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $316.23 / $467.74	Professional		$194.98	$316.23	$467.74