Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $5,754.40	Facility		$4,897.79	$4,897.79	$5,754.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,023.29 / $1,778.28	Professional		$912.01	$1,023.29	$1,778.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,513.56 / $1,513.56	Facility		$954.99	$1,513.56	$1,513.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $2,290.87 / $2,290.87	Professional		$912.01	$2,290.87	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,230.27 / $2,187.76	Professional		$741.31	$1,230.27	$2,187.76
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $4,897.79 / $6,918.31	Facility		$1,288.25	$4,897.79	$6,918.31
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,122.02 / $1,584.89	Professional		$933.25	$1,122.02	$1,584.89
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,096.48 / $1,737.80	Professional		$707.95	$1,096.48	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $7,413.10 / $12,882.50	Facility		$4,265.80	$7,413.10	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,202.26 / $1,584.89	Professional		$954.99	$1,202.26	$1,584.89