Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $4,897.79	Facility		$2,884.03	$2,884.03	$4,897.79
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 $870.96 / $1,412.54 / $1,412.54	Facility		$870.96	$1,412.54	$1,412.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,412.54 / $1,412.54	Professional		$870.96	$1,412.54	$1,412.54
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 $1,174.90 / $2,884.03 / $4,897.79	Facility		$1,174.90	$2,884.03	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,096.48 / $1,479.11	Professional		$912.01	$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 $3,311.31 / $6,606.93 / $12,302.69	Facility		$3,311.31	$6,606.93	$12,302.69
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