Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,897.79	Facility		$4,073.80	$4,073.80	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,047.13 / $1,995.26	Professional		$912.01	$1,047.13	$1,995.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility		$1,513.56	$1,513.56	$1,513.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,513.56 / $1,513.56	Professional		$933.25	$1,513.56	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,096.48 / $4,168.69	Professional		$870.96	$1,096.48	$4,168.69
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $4,073.80 / $5,754.40	Facility		$1,258.93	$4,073.80	$5,754.40
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,047.13 / $1,445.44	Professional		$812.83	$1,047.13	$1,445.44
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,023.29 / $3,890.45	Professional		$891.25	$1,023.29	$3,890.45
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $7,585.78 / $13,489.63	Facility		$4,265.80	$7,585.78	$13,489.63
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,122.02 / $1,479.11	Professional		$933.25	$1,122.02	$1,479.11