Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $4,897.79 / $4,897.79	Facility		$588.84	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $524.81 / $794.33	Professional		$436.52	$524.81	$794.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $645.65 / $645.65	Facility		$407.38	$645.65	$645.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $645.65 / $645.65	Professional		$109.65	$645.65	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $616.60 / $707.95	Professional		$389.05	$616.60	$707.95
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,513.56 / $4,897.79	Facility		$588.84	$1,513.56	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $562.34 / $776.25	Professional		$436.52	$562.34	$776.25
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $575.44 / $794.33	Professional		$389.05	$575.44	$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 $512.86 / $645.65 / $812.83	Professional		$512.86	$645.65	$812.83