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 $1,174.90 / $1,380.38 / $2,398.83	Professional		$1,174.90	$1,380.38	$2,398.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility		$3,090.30	$3,090.30	$3,090.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $2,089.30 / $3,090.30	Professional		$416.87	$2,089.30	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,479.11 / $3,467.37	Professional		$1,047.13	$1,479.11	$3,467.37
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $3,715.35 / $6,918.31	Facility		$1,778.28	$3,715.35	$6,918.31
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,513.56 / $1,995.26	Professional		$1,258.93	$1,513.56	$1,995.26
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,445.44 / $2,511.89	Professional		$1,000.00	$1,445.44	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $5,623.41 / $9,120.11	Facility		$2,570.40	$5,623.41	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,513.56 / $1,995.26	Professional		$1,258.93	$1,513.56	$1,995.26