Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $2,884.03 / $4,897.79	Facility		$398.11	$2,884.03	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $281.84 / $457.09	Professional		$158.49	$281.84	$457.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $257.04	Facility		$158.49	$158.49	$257.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $257.04 / $346.74	Professional		$128.82	$257.04	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $302.00 / $616.60	Professional		$165.96	$302.00	$616.60
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $1,380.38 / $4,897.79	Facility		$269.15	$1,380.38	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $302.00 / $446.68	Professional		$162.18	$302.00	$446.68
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $275.42 / $562.34	Professional		$162.18	$275.42	$562.34
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 $169.82 / $269.15 / $436.52	Professional		$169.82	$269.15	$436.52