Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $4,897.79 / $4,897.79	Facility		$1,174.90	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,096.48 / $1,621.81	Professional		$870.96	$1,096.48	$1,621.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,995.26 / $1,995.26	Facility		$1,318.26	$1,995.26	$1,995.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,318.26 / $1,995.26	Professional		$831.76	$1,318.26	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,258.93 / $1,445.44	Professional		$794.33	$1,258.93	$1,445.44
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $3,019.95 / $4,897.79	Facility		$1,174.90	$3,019.95	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,122.02 / $1,548.82	Professional		$870.96	$1,122.02	$1,548.82
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,202.26 / $1,621.81	Professional		$794.33	$1,202.26	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $9,120.11 / $14,791.08	Facility		$4,265.80	$9,120.11	$14,791.08
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,288.25 / $1,659.59	Professional		$1,023.29	$1,288.25	$1,659.59