Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,884.03 / $4,897.79	Facility		$630.96	$2,884.03	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $616.60 / $1,047.13	Professional		$446.68	$616.60	$1,047.13
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $416.87 / $478.63 / $1,000.00	Professional	50	$416.87	$478.63	$1,000.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $1,023.29	Facility		$691.83	$691.83	$1,023.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $741.31 / $1,023.29	Professional		$138.04	$741.31	$1,023.29
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,096.48 / $1,096.48 / $1,380.38	Professional	50	$1,096.48	$1,096.48	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $562.34 / $1,258.93	Professional		$363.08	$562.34	$1,258.93
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,698.24 / $4,897.79	Facility		$630.96	$1,698.24	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $645.65 / $933.25	Professional		$478.63	$645.65	$933.25
Health Alliance Plan Facility/Professional Professional Modifier 50 Low / Median / High Price $416.87 / $741.31 / $1,000.00	Professional	50	$416.87	$741.31	$1,000.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $478.63 / $676.08	Professional		$354.81	$478.63	$676.08
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 $489.78 / $616.60 / $794.33	Professional		$489.78	$616.60	$794.33