Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,897.79 / $4,897.79	Facility		$1,380.38	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,202.26 / $1,862.09	Professional		$1,000.00	$1,202.26	$1,862.09
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility		$2,238.72	$2,238.72	$2,238.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $2,238.72 / $2,238.72	Professional		$933.25	$2,238.72	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,445.44 / $1,621.81	Professional		$912.01	$1,445.44	$1,621.81
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $3,467.37 / $4,897.79	Facility		$1,380.38	$3,467.37	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,288.25 / $1,778.28	Professional		$1,000.00	$1,288.25	$1,778.28
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,348.96 / $1,819.70	Professional		$912.01	$1,348.96	$1,819.70
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 $1,174.90 / $1,445.44 / $1,905.46	Professional		$1,174.90	$1,445.44	$1,905.46