Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,897.79 / $5,754.40	Facility		$4,073.80	$4,897.79	$5,754.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $645.65 / $1,288.25	Professional		$524.81	$645.65	$1,288.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $537.03 / $537.03	Facility		$169.82	$537.03	$537.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $851.14 / $851.14	Professional		$512.86	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $691.83 / $954.99	Professional		$512.86	$691.83	$954.99
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $4,073.80 / $5,754.40	Facility		$724.44	$4,073.80	$5,754.40
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $676.08 / $912.01	Professional		$537.03	$676.08	$912.01
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $676.08 / $912.01	Professional		$602.56	$676.08	$912.01
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 $588.84 / $724.44 / $954.99	Professional		$588.84	$724.44	$954.99