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 $1,949.84 / $1,949.84 / $2,951.21	Facility		$1,949.84	$1,949.84	$2,951.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,951.21 / $2,951.21	Professional		$1,230.27	$2,951.21	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,041.74 / $2,137.96	Professional		$1,174.90	$2,041.74	$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 / $1,659.59 / $2,238.72	Professional		$1,288.25	$1,659.59	$2,238.72
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,348.96 / $2,344.23	Professional		$1,174.90	$1,348.96	$2,344.23
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 $1,412.54 / $1,862.09 / $2,454.71	Professional		$1,412.54	$1,862.09	$2,454.71