Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $5,754.40	Facility		$4,897.79	$4,897.79	$5,754.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $549.54 / $831.76	Professional		$478.63	$549.54	$831.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $512.86	Facility		$165.96	$165.96	$512.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $776.25 / $870.96	Professional		$165.96	$776.25	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $645.65 / $912.01	Professional		$489.78	$645.65	$912.01
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $4,897.79 / $6,918.31	Facility		$676.08	$4,897.79	$6,918.31
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $645.65 / $891.25	Professional		$489.78	$645.65	$891.25
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $588.84 / $870.96	Professional		$549.54	$588.84	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $5,128.61 / $12,022.64	Facility		$2,511.89	$5,128.61	$12,022.64
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $707.95 / $891.25	Professional		$549.54	$707.95	$891.25