Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $4,897.79 / $4,897.79	Facility		$1,258.93	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,071.52 / $1,513.56	Professional		$933.25	$1,071.52	$1,513.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,584.89 / $1,584.89	Facility		$1,000.00	$1,584.89	$1,584.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $1,513.56 / $1,584.89	Professional		$316.23	$1,513.56	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,148.15 / $1,737.80	Professional		$954.99	$1,148.15	$1,737.80
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $3,235.94 / $4,897.79	Facility		$1,258.93	$3,235.94	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,230.27 / $1,621.81	Professional		$954.99	$1,230.27	$1,621.81
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,148.15 / $1,698.24	Professional		$1,071.52	$1,148.15	$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 $1,047.13 / $1,318.26 / $1,737.80	Professional		$1,047.13	$1,318.26	$1,737.80