Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $4,073.80 / $4,897.79	Facility		$630.96	$4,073.80	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $478.63 / $776.25	Professional		$316.23	$478.63	$776.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $741.31	Facility		$309.03	$309.03	$741.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $489.78 / $741.31	Professional		$309.03	$489.78	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $426.58 / $977.24	Professional		$263.03	$426.58	$977.24
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $4,073.80 / $4,897.79	Facility		$416.87	$4,073.80	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $478.63 / $660.69	Professional		$346.74	$478.63	$660.69
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $354.81 / $588.84	Professional		$251.19	$354.81	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $4,365.16 / $7,413.10	Facility		$1,819.70	$4,365.16	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $426.58 / $630.96	Professional		$316.23	$426.58	$630.96