Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $5,754.40	Facility		$4,897.79	$4,897.79	$5,754.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,000.00 / $1,698.24	Professional		$870.96	$1,000.00	$1,698.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $1,412.54 / $2,089.30	Facility		$281.84	$1,412.54	$2,089.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,412.54 / $2,089.30	Professional		$831.76	$1,412.54	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,096.48 / $1,548.82	Professional		$831.76	$1,096.48	$1,548.82
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $4,897.79 / $6,918.31	Facility		$1,202.26	$4,897.79	$6,918.31
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,096.48 / $1,479.11	Professional		$891.25	$1,096.48	$1,479.11
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,096.48 / $1,513.56	Professional		$1,000.00	$1,096.48	$1,513.56
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 $954.99 / $1,202.26 / $1,584.89	Professional		$954.99	$1,202.26	$1,584.89