Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $2,041.74 / $4,897.79	Facility		$691.83	$2,041.74	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $426.58 / $776.25	Professional		$177.83	$426.58	$776.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $269.15 / $281.84	Professional		$53.70	$269.15	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $537.03 / $1,148.15	Professional		$190.55	$537.03	$1,148.15
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,737.80 / $4,897.79	Facility		$588.84	$1,737.80	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $562.34 / $776.25	Professional		$177.83	$562.34	$776.25
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $467.74 / $870.96	Professional		$186.21	$467.74	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $2,630.27 / $5,623.41	Facility		$588.84	$2,630.27	$5,623.41
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $489.78 / $891.25	Professional		$190.55	$489.78	$891.25