Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $4,897.79 / $4,897.79	Facility		$1,905.46	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,698.24 / $2,630.27	Professional		$1,380.38	$1,698.24	$2,630.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $2,089.30	Facility		$1,318.26	$1,318.26	$2,089.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,089.30 / $2,089.30	Professional		$1,318.26	$2,089.30	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,995.26 / $2,290.87	Professional		$1,258.93	$1,995.26	$2,290.87
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $4,677.35 / $4,897.79	Facility		$1,905.46	$4,677.35	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,778.28 / $2,454.71	Professional		$1,380.38	$1,778.28	$2,454.71
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,905.46 / $2,398.83	Professional		$1,258.93	$1,905.46	$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 $1,621.81 / $1,949.84 / $2,630.27	Professional		$1,621.81	$1,949.84	$2,630.27