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 $741.31 / $912.01 / $1,659.59	Professional		$741.31	$912.01	$1,659.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,089.30 / $2,089.30	Facility		$1,412.54	$2,089.30	$2,089.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $2,089.30 / $2,089.30	Professional		$281.84	$2,089.30	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $977.24 / $3,890.45	Professional		$758.58	$977.24	$3,890.45
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $4,073.80 / $5,754.40	Facility		$1,096.48	$4,073.80	$5,754.40
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,000.00 / $1,348.96	Professional		$831.76	$1,000.00	$1,348.96
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $912.01 / $3,630.78	Professional		$758.58	$912.01	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,786.30 / $8,317.64	Facility		$2,238.72	$4,786.30	$8,317.64
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,023.29 / $1,412.54	Professional		$870.96	$1,023.29	$1,412.54