Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $4,897.79 / $4,897.79	Facility		$1,412.54	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,258.93 / $1,819.70	Professional		$1,023.29	$1,258.93	$1,819.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $316.23	Facility		$269.15	$269.15	$316.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $977.24 / $1,584.89	Professional		$269.15	$977.24	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,479.11 / $1,737.80	Professional		$954.99	$1,479.11	$1,737.80
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,388.44 / $4,897.79	Facility		$1,412.54	$3,388.44	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,318.26 / $1,737.80	Professional		$1,023.29	$1,318.26	$1,737.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,380.38 / $1,778.28	Professional		$954.99	$1,380.38	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,890.45 / $6,025.60	Facility		$1,698.24	$3,890.45	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,445.44 / $1,862.09	Professional		$1,174.90	$1,445.44	$1,862.09