Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Facility		$912.01	$912.01	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $707.95 / $912.01	Professional		$467.74	$707.95	$912.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,570.40 / $4,897.79	Facility		$1,000.00	$2,570.40	$4,897.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $954.99 / $954.99	Professional		$645.65	$954.99	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,818.38 / $3,388.44	Facility		$912.01	$2,818.38	$3,388.44
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $954.99 / $1,513.56	Professional		$562.34	$954.99	$1,513.56
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $81.28 / $794.33	Facility		$39.81	$81.28	$794.33
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $1,122.02 / $1,698.24	Professional		$467.74	$1,122.02	$1,698.24