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 $891.25 / $1,023.29 / $1,778.28	Professional		$891.25	$1,023.29	$1,778.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $2,137.96	Facility		$891.25	$891.25	$2,137.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $2,137.96 / $2,137.96	Professional		$891.25	$2,137.96	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,096.48 / $1,548.82	Professional		$851.14	$1,096.48	$1,548.82
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,884.03 / $4,897.79	Facility		$1,230.27	$2,884.03	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,122.02 / $1,513.56	Professional		$933.25	$1,122.02	$1,513.56
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,096.48 / $1,548.82	Professional		$977.24	$1,096.48	$1,548.82
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 $977.24 / $1,230.27 / $1,584.89	Professional		$977.24	$1,230.27	$1,584.89