Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,897.79 / $6,918.31	Facility		$4,073.80	$4,897.79	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $416.87	Professional		$363.08	$363.08	$416.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $870.96 / $870.96	Facility		$173.78	$870.96	$870.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $549.54 / $870.96	Professional		$186.21	$549.54	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,318.26 / $1,584.89	Professional		$1,071.52	$1,318.26	$1,584.89
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,897.79 / $6,918.31	Facility		$4,073.80	$4,897.79	$6,918.31
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $891.25	Professional		$363.08	$363.08	$891.25
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,318.26	Professional		$1,258.93	$1,258.93	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $5,888.44 / $10,000.00	Facility		$2,884.03	$5,888.44	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58