Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $4,897.79 / $4,897.79	Facility		$1,445.44	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,288.25 / $2,041.74	Professional		$1,047.13	$1,288.25	$2,041.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $2,570.40 / $2,570.40	Facility		$288.40	$2,570.40	$2,570.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $1,698.24 / $2,570.40	Professional		$436.52	$1,698.24	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,513.56 / $1,862.09	Professional		$1,023.29	$1,513.56	$1,862.09
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $3,630.78 / $4,897.79	Facility		$1,445.44	$3,630.78	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,348.96 / $1,905.46	Professional		$1,096.48	$1,348.96	$1,905.46
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,513.56 / $1,819.70	Professional		$1,122.02	$1,513.56	$1,819.70
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 $1,122.02 / $1,380.38 / $1,905.46	Professional		$1,122.02	$1,380.38	$1,905.46