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 $776.25 / $933.25 / $1,621.81	Professional		$776.25	$933.25	$1,621.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $1,412.54 / $1,412.54	Facility		$281.84	$1,412.54	$1,412.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,089.30 / $2,089.30	Professional		$1,412.54	$2,089.30	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,071.52 / $2,630.27	Professional		$707.95	$1,071.52	$2,630.27
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $4,897.79 / $6,918.31	Facility		$1,174.90	$4,897.79	$6,918.31
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 $660.69 / $977.24 / $1,698.24	Professional		$660.69	$977.24	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $8,128.31 / $12,302.69	Facility		$4,677.35	$8,128.31	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,071.52 / $1,318.26	Professional		$870.96	$1,071.52	$1,318.26