Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $4,897.79 / $4,897.79	Facility		$562.34	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $501.19 / $630.96	Professional		$407.38	$501.19	$630.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Facility		$616.60	$616.60	$616.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $616.60 / $660.69	Professional		$123.03	$616.60	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $630.96 / $691.83	Professional		$371.54	$630.96	$691.83
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,318.26 / $4,897.79	Facility		$562.34	$1,318.26	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $501.19 / $630.96	Professional		$407.38	$501.19	$630.96
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $588.84 / $794.33	Professional		$371.54	$588.84	$794.33
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 / $616.60 / $812.83	Professional		$478.63	$616.60	$812.83