Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $4,897.79 / $4,897.79	Facility		$1,202.26	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $954.99 / $1,698.24	Professional		$794.33	$954.99	$1,698.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Facility		$1,380.38	$1,380.38	$1,380.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $1,380.38 / $1,445.44	Professional		$288.40	$1,380.38	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,096.48 / $2,041.74	Professional		$724.44	$1,096.48	$2,041.74
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,818.38 / $4,897.79	Facility		$1,202.26	$2,818.38	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,071.52 / $1,479.11	Professional		$870.96	$1,071.52	$1,479.11
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $912.01 / $1,584.89	Professional		$676.08	$912.01	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $3,890.45 / $6,025.60	Facility		$1,230.27	$3,890.45	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,071.52 / $1,412.54	Professional		$870.96	$1,071.52	$1,412.54