Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $4,897.79 / $4,897.79	Facility		$1,288.25	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,148.15 / $1,412.54	Professional		$954.99	$1,148.15	$1,412.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Facility		$1,445.44	$1,445.44	$1,445.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $891.25 / $1,445.44	Professional		$288.40	$891.25	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,380.38 / $1,584.89	Professional		$870.96	$1,380.38	$1,584.89
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $3,019.95 / $4,897.79	Facility		$1,288.25	$3,019.95	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,148.15 / $1,412.54	Professional		$954.99	$1,148.15	$1,412.54
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,318.26 / $1,737.80	Professional		$870.96	$1,318.26	$1,737.80
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 $1,122.02 / $1,380.38 / $1,862.09	Professional		$1,122.02	$1,380.38	$1,862.09