Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $4,897.79 / $4,897.79	Facility		$1,698.24	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,513.56 / $2,290.87	Professional		$1,230.27	$1,513.56	$2,290.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Facility		$1,862.09	$1,862.09	$1,862.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $1,862.09 / $1,862.09	Professional		$371.54	$1,862.09	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,819.70 / $2,041.74	Professional		$1,122.02	$1,819.70	$2,041.74
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $4,570.88 / $4,897.79	Facility		$1,698.24	$4,570.88	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,621.81 / $2,238.72	Professional		$1,258.93	$1,621.81	$2,238.72
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,698.24 / $2,511.89	Professional		$1,122.02	$1,698.24	$2,511.89
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 $1,412.54 / $1,819.70 / $2,398.83	Professional		$1,412.54	$1,819.70	$2,398.83