Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $4,897.79	Facility		$2,884.03	$2,884.03	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $457.09 / $758.58	Professional		$398.11	$457.09	$758.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $645.65	Facility		$128.82	$128.82	$645.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $602.56 / $645.65	Professional		$398.11	$602.56	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $501.19 / $707.95	Professional		$380.19	$501.19	$707.95
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $2,884.03 / $4,897.79	Facility		$537.03	$2,884.03	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $489.78 / $676.08	Professional		$416.87	$489.78	$676.08
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $501.19 / $691.83	Professional		$446.68	$501.19	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $5,888.44 / $10,000.00	Facility		$2,691.53	$5,888.44	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $537.03 / $724.44	Professional		$426.58	$537.03	$724.44