Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $4,897.79 / $4,897.79	Facility		$1,288.25	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,071.52 / $1,862.09	Professional		$933.25	$1,071.52	$1,862.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,584.89	Facility		$1,000.00	$1,000.00	$1,584.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,584.89 / $1,584.89	Professional		$1,000.00	$1,584.89	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,174.90 / $1,778.28	Professional		$954.99	$1,174.90	$1,778.28
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $3,235.94 / $4,897.79	Facility		$1,288.25	$3,235.94	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,230.27 / $1,659.59	Professional		$954.99	$1,230.27	$1,659.59
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,174.90 / $1,698.24	Professional		$1,071.52	$1,174.90	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $4,786.30 / $8,709.64	Facility		$3,090.30	$4,786.30	$8,709.64
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,348.96 / $1,778.28	Professional		$1,071.52	$1,348.96	$1,778.28