Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $4,897.79 / $4,897.79	Facility		$1,318.26	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,096.48 / $1,905.46	Professional		$954.99	$1,096.48	$1,905.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Facility		$2,290.87	$2,290.87	$2,290.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $2,290.87 / $2,290.87	Professional		$954.99	$2,290.87	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,202.26 / $1,698.24	Professional		$912.01	$1,202.26	$1,698.24
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $3,090.30 / $4,897.79	Facility		$1,318.26	$3,090.30	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,230.27 / $1,698.24	Professional		$1,000.00	$1,230.27	$1,698.24
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,202.26 / $1,659.59	Professional		$1,071.52	$1,202.26	$1,659.59
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 $1,047.13 / $1,318.26 / $1,737.80	Professional		$1,047.13	$1,318.26	$1,737.80