Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $4,897.79 / $4,897.79	Facility		$851.14	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $776.25 / $1,174.90	Professional		$630.96	$776.25	$1,174.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $954.99	Facility		$602.56	$602.56	$954.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $954.99 / $954.99	Professional		$199.53	$954.99	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $870.96 / $1,071.52	Professional		$575.44	$870.96	$1,071.52
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $2,089.30 / $4,897.79	Facility		$851.14	$2,089.30	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $812.83 / $1,071.52	Professional		$630.96	$812.83	$1,071.52
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $776.25 / $1,096.48	Professional		$575.44	$776.25	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,890.45 / $6,025.60	Facility		$1,698.24	$3,890.45	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $891.25 / $1,148.15	Professional		$724.44	$891.25	$1,148.15