Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $4,897.79	Facility		$2,884.03	$2,884.03	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $537.03 / $794.33	Professional		$416.87	$537.03	$794.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $676.08 / $1,071.52	Professional		$446.68	$676.08	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $512.86 / $741.31	Professional		$416.87	$512.86	$741.31
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $2,884.03 / $4,897.79	Facility		$602.56	$2,884.03	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $524.81 / $691.83	Professional		$446.68	$524.81	$691.83
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $512.86 / $741.31	Professional		$436.52	$512.86	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $5,248.07 / $13,489.63	Facility		$2,511.89	$5,248.07	$13,489.63
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $512.86 / $741.31	Professional		$426.58	$512.86	$741.31