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 $537.03 / $645.65 / $1,148.15	Professional		$537.03	$645.65	$1,148.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Facility		$954.99	$954.99	$954.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,348.96 / $1,445.44	Professional		$912.01	$1,348.96	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $741.31 / $1,737.80	Professional		$478.63	$741.31	$1,737.80
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $4,073.80 / $5,754.40	Facility		$794.33	$4,073.80	$5,754.40
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $707.95 / $1,047.13	Professional		$575.44	$707.95	$1,047.13
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $724.44 / $1,148.15	Professional		$457.09	$724.44	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $8,128.31 / $12,302.69	Facility		$2,570.40	$8,128.31	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $724.44 / $954.99	Professional		$588.84	$724.44	$954.99