Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $4,897.79 / $4,897.79	Facility		$1,230.27	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,047.13 / $1,862.09	Professional		$912.01	$1,047.13	$1,862.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,187.76 / $2,187.76	Facility		$912.01	$2,187.76	$2,187.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $2,187.76 / $2,187.76	Professional		$295.12	$2,187.76	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,148.15 / $1,621.81	Professional		$870.96	$1,148.15	$1,621.81
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $3,019.95 / $4,897.79	Facility		$1,230.27	$3,019.95	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,174.90 / $1,584.89	Professional		$954.99	$1,174.90	$1,584.89
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,148.15 / $1,621.81	Professional		$1,023.29	$1,148.15	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,890.45 / $6,025.60	Facility		$1,698.24	$3,890.45	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,258.93 / $1,698.24	Professional		$1,023.29	$1,258.93	$1,698.24