Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $4,897.79 / $4,897.79	Facility		$1,047.13	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,000.00 / $1,412.54	Professional		$776.25	$1,000.00	$1,412.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $724.44 / $724.44	Facility		$229.09	$724.44	$724.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,148.15 / $1,230.27	Professional		$724.44	$1,148.15	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,230.27 / $1,348.96	Professional		$691.83	$1,230.27	$1,348.96
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,951.21 / $4,897.79	Facility		$1,071.52	$2,951.21	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,047.13 / $1,412.54	Professional		$794.33	$1,047.13	$1,412.54
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,000.00 / $1,479.11	Professional		$691.83	$1,000.00	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,238.72 / $4,466.84	Facility		$954.99	$2,238.72	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,202.26 / $1,548.82	Professional		$954.99	$1,202.26	$1,548.82