Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $4,897.79 / $5,754.40	Facility		$1,348.96	$4,897.79	$5,754.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,148.15 / $2,344.23	Professional		$933.25	$1,148.15	$2,344.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $1,513.56	Facility		$933.25	$933.25	$1,513.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,513.56 / $1,584.89	Professional		$933.25	$1,513.56	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,202.26 / $1,659.59	Professional		$891.25	$1,202.26	$1,659.59
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $4,897.79 / $6,918.31	Facility		$1,348.96	$4,897.79	$6,918.31
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,230.27 / $1,778.28	Professional		$977.24	$1,230.27	$1,778.28
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 $2,691.53 / $5,888.44 / $10,000.00	Facility		$2,691.53	$5,888.44	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,318.26 / $1,778.28	Professional		$1,047.13	$1,318.26	$1,778.28