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 $389.05 / $1,949.84 / $1,949.84	Facility		$389.05	$1,949.84	$1,949.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,949.84 / $1,949.84	Professional		$1,202.26	$1,949.84	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,819.70 / $2,137.96	Professional		$1,174.90	$1,819.70	$2,137.96
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $4,466.84 / $4,897.79	Facility		$1,778.28	$4,466.84	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,698.24 / $2,238.72	Professional		$1,288.25	$1,698.24	$2,238.72
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,659.59 / $2,238.72	Professional		$1,174.90	$1,659.59	$2,238.72
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 / $2,398.83	Professional		$1,513.56	$1,819.70	$2,398.83