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 / $1,819.70	Professional		$870.96	$1,023.29	$1,819.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $2,290.87	Facility		$954.99	$954.99	$2,290.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $1,513.56 / $2,290.87	Professional		$257.04	$1,513.56	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,258.93 / $1,778.28	Professional		$891.25	$1,258.93	$1,778.28
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $3,162.28 / $4,897.79	Facility		$1,288.25	$3,162.28	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,202.26 / $1,659.59	Professional		$954.99	$1,202.26	$1,659.59
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,348.96 / $1,548.82	Professional		$1,000.00	$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 $1,023.29 / $1,230.27 / $1,698.24	Professional		$1,023.29	$1,230.27	$1,698.24