Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $4,897.79 / $4,897.79	Facility		$549.54	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $489.78 / $741.31	Professional		$407.38	$489.78	$741.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $602.56	Facility		$380.19	$380.19	$602.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $575.44 / $602.56	Professional		$380.19	$575.44	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $562.34 / $660.69	Professional		$371.54	$562.34	$660.69
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,412.54 / $4,897.79	Facility		$549.54	$1,412.54	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $512.86 / $691.83	Professional		$407.38	$512.86	$691.83
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $549.54 / $645.65	Professional		$371.54	$549.54	$645.65
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 $478.63 / $575.44 / $758.58	Professional		$478.63	$575.44	$758.58