Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $4,897.79 / $6,918.31	Facility		$1,778.28	$4,897.79	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,445.44 / $2,754.23	Professional		$1,288.25	$1,445.44	$2,754.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility		$1,318.26	$1,318.26	$1,318.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $2,089.30 / $2,238.72	Professional		$426.58	$2,089.30	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,737.80 / $4,073.80	Professional		$1,047.13	$1,737.80	$4,073.80
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $4,466.84 / $6,918.31	Facility		$1,778.28	$4,466.84	$6,918.31
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,659.59 / $2,344.23	Professional		$1,318.26	$1,659.59	$2,344.23
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,548.82 / $2,511.89	Professional		$1,000.00	$1,548.82	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $7,413.10 / $12,882.50	Facility		$4,265.80	$7,413.10	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,659.59 / $2,187.76	Professional		$1,348.96	$1,659.59	$2,187.76