Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $4,897.79 / $4,897.79	Facility		$1,318.26	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,096.48 / $1,819.70	Professional		$891.25	$1,096.48	$1,819.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $891.25	Facility		$426.58	$426.58	$891.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $1,445.44 / $2,137.96	Professional		$245.47	$1,445.44	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,288.25 / $1,819.70	Professional		$912.01	$1,288.25	$1,819.70
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $3,162.28 / $4,897.79	Facility		$1,318.26	$3,162.28	$4,897.79
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 $977.24 / $1,348.96 / $1,548.82	Professional		$977.24	$1,348.96	$1,548.82
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 $1,000.00 / $1,230.27 / $1,698.24	Professional		$1,000.00	$1,230.27	$1,698.24