Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $4,897.79 / $4,897.79	Facility		$891.25	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $741.31 / $1,412.54	Professional		$630.96	$741.31	$1,412.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility		$1,071.52	$1,071.52	$1,071.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,071.52 / $1,148.15	Professional		$676.08	$1,071.52	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $912.01 / $2,041.74	Professional		$676.08	$912.01	$2,041.74
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,949.84 / $4,897.79	Facility		$724.44	$1,949.84	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $812.83 / $1,148.15	Professional		$660.69	$812.83	$1,148.15
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $812.83 / $1,548.82	Professional		$575.44	$812.83	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $3,548.13 / $6,025.60	Facility		$512.86	$3,548.13	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $851.14 / $1,174.90	Professional		$645.65	$851.14	$1,174.90