Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $4,897.79 / $4,897.79	Facility		$660.69	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $588.84 / $891.25	Professional		$489.78	$588.84	$891.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $724.44 / $724.44	Facility		$457.09	$724.44	$724.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $724.44 / $724.44	Professional		$151.36	$724.44	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $707.95 / $794.33	Professional		$446.68	$707.95	$794.33
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,698.24 / $4,897.79	Facility		$660.69	$1,698.24	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $630.96 / $870.96	Professional		$489.78	$630.96	$870.96
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $660.69 / $891.25	Professional		$446.68	$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 $588.84 / $707.95 / $912.01	Professional		$588.84	$707.95	$912.01