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 $1,258.93 / $1,479.11 / $2,344.23	Professional		$1,258.93	$1,479.11	$2,344.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $1,288.25 / $1,288.25	Facility		$346.74	$1,288.25	$1,288.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $2,041.74 / $2,187.76	Professional		$407.38	$2,041.74	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,737.80 / $3,890.45	Professional		$1,318.26	$1,737.80	$3,890.45
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 $1,288.25 / $1,513.56 / $1,995.26	Professional		$1,288.25	$1,513.56	$1,995.26
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,584.89 / $3,019.95	Professional		$1,122.02	$1,584.89	$3,019.95
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 $1,288.25 / $1,659.59 / $2,290.87	Professional		$1,288.25	$1,659.59	$2,290.87