Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $4,897.79	Facility		$2,884.03	$2,884.03	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $812.83 / $1,288.25	Professional		$630.96	$812.83	$1,288.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $660.69 / $660.69	Facility		$177.83	$660.69	$660.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $1,047.13 / $1,122.02	Professional		$208.93	$1,047.13	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $812.83 / $1,122.02	Professional		$645.65	$812.83	$1,122.02
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,884.03 / $4,897.79	Facility		$891.25	$2,884.03	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $831.76 / $1,148.15	Professional		$691.83	$831.76	$1,148.15
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $812.83 / $1,122.02	Professional		$645.65	$812.83	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,630.27 / $6,025.60	Facility		$707.95	$2,630.27	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $851.14 / $1,202.26	Professional		$691.83	$851.14	$1,202.26