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 $870.96 / $977.24 / $1,737.80	Professional		$870.96	$977.24	$1,737.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $1,380.38	Facility		$275.42	$275.42	$1,380.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $2,089.30 / $2,089.30	Professional		$870.96	$2,089.30	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,096.48 / $1,548.82	Professional		$812.83	$1,096.48	$1,548.82
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $4,073.80 / $5,754.40	Facility		$1,174.90	$4,073.80	$5,754.40
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,071.52 / $1,445.44	Professional		$912.01	$1,071.52	$1,445.44
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,071.52 / $1,513.56	Professional		$977.24	$1,071.52	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $3,801.89 / $7,244.36	Facility		$1,288.25	$3,801.89	$7,244.36
United 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