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 $1,380.38 / $1,659.59 / $2,511.89	Professional		$1,380.38	$1,659.59	$2,511.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Facility		$2,041.74	$2,041.74	$2,041.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $2,041.74 / $2,041.74	Professional		$416.87	$2,041.74	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,949.84 / $2,238.72	Professional		$1,258.93	$1,949.84	$2,238.72
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $4,786.30 / $4,897.79	Facility		$1,862.09	$4,786.30	$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 / $1,412.54 / $2,570.40	Professional		$1,258.93	$1,412.54	$2,570.40
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 / $1,995.26 / $2,691.53	Professional		$1,513.56	$1,995.26	$2,691.53