Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $4,897.79 / $4,897.79	Facility		$1,698.24	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,412.54 / $2,290.87	Professional		$1,230.27	$1,412.54	$2,290.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,949.84 / $1,949.84	Facility		$1,230.27	$1,949.84	$1,949.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,949.84 / $2,041.74	Professional		$1,230.27	$1,949.84	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,819.70 / $3,981.07	Professional		$1,318.26	$1,819.70	$3,981.07
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $3,890.45 / $4,897.79	Facility		$1,445.44	$3,890.45	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,513.56 / $2,041.74	Professional		$1,258.93	$1,513.56	$2,041.74
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 $1,258.93 / $1,778.28 / $2,630.27	Professional		$1,258.93	$1,778.28	$2,630.27