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 $776.25 / $933.25 / $1,584.89	Professional		$776.25	$933.25	$1,584.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $707.95	Facility		$302.00	$302.00	$707.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $1,513.56 / $1,621.81	Professional		$302.00	$1,513.56	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $977.24 / $1,778.28	Professional		$707.95	$977.24	$1,778.28
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $4,073.80 / $5,754.40	Facility		$1,148.15	$4,073.80	$5,754.40
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,047.13 / $1,445.44	Professional		$851.14	$1,047.13	$1,445.44
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $954.99 / $1,737.80	Professional		$645.65	$954.99	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,951.21 / $5,623.41	Facility		$1,288.25	$2,951.21	$5,623.41
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,000.00 / $1,258.93	Professional		$776.25	$1,000.00	$1,258.93