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 $151.36 / $181.97 / $316.23	Professional		$151.36	$181.97	$316.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $169.82	Facility		$54.95	$54.95	$169.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $275.42 / $288.40	Professional		$54.95	$275.42	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $199.53 / $302.00	Professional		$162.18	$199.53	$302.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $2,884.03 / $4,897.79	Facility		$213.80	$2,884.03	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $204.17 / $288.40	Professional		$162.18	$204.17	$288.40
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $194.98 / $281.84	Professional		$177.83	$194.98	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,235.94 / $7,585.78	Facility		$1,513.56	$3,235.94	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $213.80 / $281.84	Professional		$173.78	$213.80	$281.84