Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $4,897.79 / $6,918.31	Facility		$1,513.56	$4,897.79	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,288.25 / $1,905.46	Professional		$1,047.13	$1,288.25	$1,905.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $2,630.27 / $2,630.27	Professional		$1,096.48	$2,630.27	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,318.26 / $1,862.09	Professional		$1,047.13	$1,318.26	$1,862.09
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,388.44 / $6,918.31	Facility		$1,513.56	$3,388.44	$6,918.31
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,318.26 / $1,778.28	Professional		$1,096.48	$1,318.26	$1,778.28
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,318.26 / $1,862.09	Professional		$1,096.48	$1,318.26	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $7,585.78 / $13,489.63	Facility		$4,265.80	$7,585.78	$13,489.63
United Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,318.26 / $1,905.46	Professional		$1,096.48	$1,318.26	$1,905.46