Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Facility		$1,000.00	$1,000.00	$1,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $912.01 / $1,148.15	Professional		$812.83	$912.01	$1,148.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,584.89 / $3,090.30	Facility		$549.54	$1,584.89	$3,090.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $524.81	Professional		$501.19	$501.19	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility		$1,513.56	$1,513.56	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,513.56 / $4,365.16	Professional		$851.14	$1,513.56	$4,365.16
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,511.89 / $2,951.21	Facility		$1,000.00	$2,511.89	$2,951.21
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,000.00 / $1,318.26	Professional		$812.83	$1,000.00	$1,318.26
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility		$1,513.56	$1,513.56	$1,513.56
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,380.38 / $4,466.84	Professional		$851.14	$1,380.38	$4,466.84
United Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $794.33 / $1,202.26	Facility		$478.63	$794.33	$1,202.26
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,096.48 / $1,548.82	Professional		$870.96	$1,096.48	$1,548.82