Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $4,897.79 / $4,897.79	Facility		$1,862.09	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,659.59 / $2,691.53	Professional		$1,288.25	$1,659.59	$2,691.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $2,137.96	Facility		$1,348.96	$1,348.96	$2,137.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,137.96 / $2,137.96	Professional		$1,348.96	$2,137.96	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,905.46 / $2,398.83	Professional		$1,318.26	$1,905.46	$2,398.83
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $4,466.84 / $4,897.79	Facility		$1,862.09	$4,466.84	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,698.24 / $2,344.23	Professional		$1,412.54	$1,698.24	$2,344.23
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,778.28 / $2,398.83	Professional		$1,513.56	$1,778.28	$2,398.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,890.45 / $6,025.60	Facility		$1,698.24	$3,890.45	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,737.80 / $2,454.71	Professional		$1,445.44	$1,737.80	$2,454.71