Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $4,897.79 / $4,897.79	Facility		$1,778.28	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,584.89 / $2,398.83	Professional		$1,288.25	$1,584.89	$2,398.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility		$1,230.27	$1,230.27	$1,230.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $1,995.26 / $1,995.26	Professional		$338.84	$1,995.26	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,862.09 / $2,187.76	Professional		$1,202.26	$1,862.09	$2,187.76
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $4,365.16 / $4,897.79	Facility		$1,778.28	$4,365.16	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,659.59 / $2,290.87	Professional		$1,288.25	$1,659.59	$2,290.87
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,778.28 / $2,290.87	Professional		$1,202.26	$1,778.28	$2,290.87
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 $1,513.56 / $1,819.70 / $2,511.89	Professional		$1,513.56	$1,819.70	$2,511.89