Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $4,897.79 / $4,897.79	Facility		$616.60	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $549.54 / $870.96	Professional		$426.58	$549.54	$870.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $436.52 / $436.52	Facility		$138.04	$436.52	$436.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $660.69 / $691.83	Professional		$138.04	$660.69	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $831.76 / $1,412.54	Professional		$436.52	$831.76	$1,412.54
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,819.70 / $4,897.79	Facility		$660.69	$1,819.70	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $616.60 / $831.76	Professional		$478.63	$616.60	$831.76
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $776.25 / $1,412.54	Professional		$436.52	$776.25	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,890.45 / $6,025.60	Facility		$1,698.24	$3,890.45	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $724.44 / $977.24	Professional		$562.34	$724.44	$977.24