Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $4,897.79 / $4,897.79	Facility		$1,513.56	$4,897.79	$4,897.79
Aetna 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
BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $1,258.93 / $1,258.93	Facility		$213.80	$1,258.93	$1,258.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $1,258.93 / $1,348.96	Professional		$251.19	$1,258.93	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,479.11 / $2,630.27	Professional		$1,047.13	$1,479.11	$2,630.27
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $4,897.79 / $6,918.31	Facility		$1,513.56	$4,897.79	$6,918.31
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,202.26 / $1,548.82	Professional		$1,000.00	$1,202.26	$1,548.82
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,318.26 / $2,511.89	Professional		$912.01	$1,318.26	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $3,548.13 / $6,025.60	Facility		$691.83	$3,548.13	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,380.38 / $1,949.84	Professional		$1,000.00	$1,380.38	$1,949.84