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 / $6,918.31	Facility		$4,897.79	$4,897.79	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $758.58 / $1,122.02	Professional		$602.56	$758.58	$1,122.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $1,000.00	Facility		$199.53	$199.53	$1,000.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,000.00 / $1,000.00	Professional		$630.96	$1,000.00	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $724.44 / $1,047.13	Professional		$562.34	$724.44	$1,047.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $4,897.79 / $6,918.31	Facility		$851.14	$4,897.79	$6,918.31
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $741.31 / $1,023.29	Professional		$630.96	$741.31	$1,023.29
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $724.44 / $1,047.13	Professional		$616.60	$724.44	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $7,585.78 / $13,489.63	Facility		$4,265.80	$7,585.78	$13,489.63
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $724.44 / $1,047.13	Professional		$602.56	$724.44	$1,047.13