Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $4,897.79 / $4,897.79	Facility		$562.34	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $467.74 / $758.58	Professional		$398.11	$467.74	$758.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $407.38 / $407.38	Facility		$128.82	$407.38	$407.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $645.65 / $645.65	Professional		$128.82	$645.65	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $575.44 / $1,230.27	Professional		$416.87	$575.44	$1,230.27
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,348.96 / $4,897.79	Facility		$501.19	$1,348.96	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $501.19 / $676.08	Professional		$407.38	$501.19	$676.08
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $512.86 / $954.99	Professional		$389.05	$512.86	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,698.24 / $5,623.41	Facility		$588.84	$1,698.24	$5,623.41
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $537.03 / $758.58	Professional		$407.38	$537.03	$758.58