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 $870.96 / $1,023.29 / $1,737.80	Professional		$870.96	$1,023.29	$1,737.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $954.99 / $1,513.56	Facility		$302.00	$954.99	$1,513.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $954.99 / $1,513.56	Professional		$288.40	$954.99	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,258.93 / $1,778.28	Professional		$794.33	$1,258.93	$1,778.28
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,511.89 / $4,897.79	Facility		$1,288.25	$2,511.89	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,096.48 / $1,380.38	Professional		$851.14	$1,096.48	$1,380.38
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,288.25 / $1,479.11	Professional		$912.01	$1,288.25	$1,479.11
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 $891.25 / $1,096.48 / $1,621.81	Professional		$891.25	$1,096.48	$1,621.81