Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $4,897.79 / $4,897.79	Facility		$1,737.80	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,445.44 / $2,344.23	Professional		$1,230.27	$1,445.44	$2,344.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $1,230.27 / $1,230.27	Facility		$338.84	$1,230.27	$1,230.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,995.26 / $1,995.26	Professional		$1,174.90	$1,995.26	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,778.28 / $3,981.07	Professional		$1,288.25	$1,778.28	$3,981.07
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $3,981.07 / $4,897.79	Facility		$1,445.44	$3,981.07	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,548.82 / $2,089.30	Professional		$1,258.93	$1,548.82	$2,089.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,548.82 / $3,019.95	Professional		$1,122.02	$1,548.82	$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 $1,258.93 / $1,698.24 / $2,290.87	Professional		$1,258.93	$1,698.24	$2,290.87