Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $4,897.79 / $4,897.79	Facility		$630.96	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $562.34 / $851.14	Professional		$457.09	$562.34	$851.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $1,000.00 / $1,047.13	Professional		$141.25	$1,000.00	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $691.83 / $776.25	Professional		$426.58	$691.83	$776.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,621.81 / $4,897.79	Facility		$630.96	$1,621.81	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $602.56 / $831.76	Professional		$457.09	$602.56	$831.76
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $660.69 / $851.14	Professional		$426.58	$660.69	$851.14
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 $537.03 / $676.08 / $870.96	Professional		$537.03	$676.08	$870.96