Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $4,897.79 / $4,897.79	Facility		$1,071.52	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $912.01 / $1,479.11	Professional		$794.33	$912.01	$1,479.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Facility		$794.33	$794.33	$794.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $1,258.93 / $1,258.93	Professional		$251.19	$1,258.93	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,096.48 / $2,344.23	Professional		$794.33	$1,096.48	$2,344.23
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $2,570.40 / $4,897.79	Facility		$870.96	$2,570.40	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $933.25 / $1,230.27	Professional		$776.25	$933.25	$1,230.27
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $954.99 / $1,905.46	Professional		$676.08	$954.99	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $7,079.46 / $12,882.50	Facility		$891.25	$7,079.46	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,047.13 / $1,513.56	Professional		$776.25	$1,047.13	$1,513.56