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 / $1,548.82 / $2,398.83	Professional		$1,288.25	$1,548.82	$2,398.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,949.84	Facility		$1,202.26	$1,202.26	$1,949.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $2,089.30 / $2,884.03	Professional		$1,148.15	$2,089.30	$2,884.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,995.26 / $2,137.96	Professional		$1,174.90	$1,995.26	$2,137.96
Health Alliance Plan 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
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,698.24 / $2,344.23	Professional		$1,288.25	$1,698.24	$2,344.23
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,659.59 / $2,398.83	Professional		$1,174.90	$1,659.59	$2,398.83
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 / $1,949.84 / $2,511.89	Professional		$1,513.56	$1,949.84	$2,511.89