Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,897.79	Facility		$4,073.80	$4,073.80	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $199.53 / $354.81	Professional		$169.82	$199.53	$354.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $575.44	Facility		$181.97	$181.97	$575.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $331.13 / $602.56	Professional		$181.97	$331.13	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $234.42 / $446.68	Professional		$151.36	$234.42	$446.68
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $4,073.80 / $5,754.40	Facility		$251.19	$4,073.80	$5,754.40
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $218.78 / $302.00	Professional		$173.78	$218.78	$302.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $218.78 / $331.13	Professional		$141.25	$218.78	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,258.93 / $2,041.74	Facility		$467.74	$1,258.93	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $229.09 / $295.12	Professional		$186.21	$229.09	$295.12