Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $4,897.79 / $4,897.79	Facility		$489.78	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $398.11 / $537.03	Professional		$354.81	$398.11	$537.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $562.34 / $630.96	Professional		$537.03	$562.34	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $478.63 / $676.08	Professional		$363.08	$478.63	$676.08
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,148.15 / $4,897.79	Facility		$489.78	$1,148.15	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $426.58 / $575.44	Professional		$363.08	$426.58	$575.44
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $478.63 / $630.96	Professional		$398.11	$478.63	$630.96
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 $398.11 / $501.19 / $724.44	Professional		$398.11	$501.19	$724.44