Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $4,897.79 / $4,897.79	Facility		$1,905.46	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,584.89 / $2,570.40	Professional		$1,380.38	$1,584.89	$2,570.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,187.76 / $2,187.76	Professional		$1,380.38	$2,187.76	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,949.84 / $4,365.16	Professional		$1,445.44	$1,949.84	$4,365.16
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $4,365.16 / $4,897.79	Facility		$1,621.81	$4,365.16	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,698.24 / $2,290.87	Professional		$1,412.54	$1,698.24	$2,290.87
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,737.80 / $3,311.31	Professional		$1,230.27	$1,737.80	$3,311.31
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 $1,380.38 / $1,905.46 / $2,630.27	Professional		$1,380.38	$1,905.46	$2,630.27