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 $758.58 / $891.25 / $1,513.56	Professional		$758.58	$891.25	$1,513.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,995.26 / $1,995.26	Professional		$776.25	$1,995.26	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $977.24 / $1,862.09	Professional		$660.69	$977.24	$1,862.09
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $4,073.80 / $5,754.40	Facility		$1,122.02	$4,073.80	$5,754.40
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $977.24 / $1,288.25	Professional		$812.83	$977.24	$1,288.25
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $933.25 / $1,548.82	Professional		$645.65	$933.25	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $4,786.30 / $8,709.64	Facility		$2,398.83	$4,786.30	$8,709.64
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $977.24 / $1,258.93	Professional		$794.33	$977.24	$1,258.93