Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $4,897.79 / $4,897.79	Facility		$1,862.09	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,659.59 / $2,511.89	Professional		$1,348.96	$1,659.59	$2,511.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $3,090.30	Facility		$1,288.25	$1,288.25	$3,090.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,187.76 / $3,090.30	Professional		$1,202.26	$2,187.76	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,905.46 / $2,238.72	Professional		$1,230.27	$1,905.46	$2,238.72
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $4,677.35 / $4,897.79	Facility		$1,862.09	$4,677.35	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,737.80 / $2,398.83	Professional		$1,348.96	$1,737.80	$2,398.83
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,737.80 / $2,511.89	Professional		$1,230.27	$1,737.80	$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 $1,548.82 / $1,949.84 / $2,570.40	Professional		$1,548.82	$1,949.84	$2,570.40