Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,897.79	Facility		$4,073.80	$4,073.80	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $213.80 / $316.23	Professional		$186.21	$213.80	$316.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $275.42 / $288.40	Professional		$263.03	$275.42	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $263.03 / $389.05	Professional		$173.78	$263.03	$389.05
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $4,073.80 / $5,754.40	Facility		$251.19	$4,073.80	$5,754.40
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $234.42 / $346.74	Professional		$194.98	$234.42	$346.74
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $269.15 / $389.05	Professional		$213.80	$269.15	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $6,918.31 / $15,135.61	Facility		$3,311.31	$6,918.31	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $269.15 / $371.54	Professional		$213.80	$269.15	$371.54