Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $4,897.79 / $4,897.79	Facility		$630.96	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $562.34 / $851.14	Professional		$457.09	$562.34	$851.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $660.69 / $741.31	Professional		$138.04	$660.69	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $707.95 / $758.58	Professional		$416.87	$707.95	$758.58
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,445.44 / $4,897.79	Facility		$630.96	$1,445.44	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $562.34 / $758.58	Professional		$457.09	$562.34	$758.58
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $660.69 / $891.25	Professional		$416.87	$660.69	$891.25
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 $537.03 / $691.83 / $912.01	Professional		$537.03	$691.83	$912.01