Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,041.74 / $4,897.79	Facility		$891.25	$2,041.74	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $794.33 / $1,258.93	Professional		$602.56	$794.33	$1,258.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,412.54 / $1,412.54	Facility		$588.84	$1,412.54	$1,412.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,174.90 / $1,412.54	Professional		$891.25	$1,174.90	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $724.44 / $1,584.89	Professional		$501.19	$724.44	$1,584.89
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,041.74 / $4,897.79	Facility		$891.25	$2,041.74	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $831.76 / $1,148.15	Professional		$630.96	$831.76	$1,148.15
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $602.56 / $1,000.00	Professional		$489.78	$602.56	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $4,365.16 / $7,413.10	Facility		$1,778.28	$4,365.16	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $776.25 / $1,023.29	Professional		$645.65	$776.25	$1,023.29