Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,897.79	Facility		$4,073.80	$4,073.80	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $194.98 / $302.00	Professional		$173.78	$194.98	$302.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $275.42 / $275.42	Facility		$46.77	$275.42	$275.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $275.42 / $288.40	Professional		$56.23	$275.42	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $251.19 / $346.74	Professional		$199.53	$251.19	$346.74
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $4,073.80 / $5,754.40	Facility		$234.42	$4,073.80	$5,754.40
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $213.80 / $302.00	Professional		$177.83	$213.80	$302.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $251.19 / $331.13	Professional		$213.80	$251.19	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $7,244.36 / $12,302.69	Facility		$3,630.78	$7,244.36	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $251.19 / $331.13	Professional		$208.93	$251.19	$331.13