Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $4,897.79 / $4,897.79	Facility		$1,659.59	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,380.38 / $2,290.87	Professional		$1,202.26	$1,380.38	$2,290.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Facility		$1,949.84	$1,949.84	$1,949.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $1,949.84 / $1,995.26	Professional		$389.05	$1,949.84	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,737.80 / $3,801.89	Professional		$1,258.93	$1,737.80	$3,801.89
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,801.89 / $4,897.79	Facility		$1,412.54	$3,801.89	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,479.11 / $1,995.26	Professional		$1,230.27	$1,479.11	$1,995.26
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,513.56 / $2,884.03	Professional		$1,096.48	$1,513.56	$2,884.03
United Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $3,548.13 / $6,025.60	Facility		$691.83	$3,548.13	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,659.59 / $2,238.72	Professional		$1,230.27	$1,659.59	$2,238.72