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 / $2,398.83	Professional		$1,258.93	$1,479.11	$2,398.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,288.25 / $2,089.30	Facility		$354.81	$1,288.25	$2,089.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,089.30 / $2,238.72	Professional		$1,288.25	$2,089.30	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,737.80 / $3,981.07	Professional		$1,348.96	$1,737.80	$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 $1,288.25 / $1,548.82 / $2,041.74	Professional		$1,288.25	$1,548.82	$2,041.74
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $3,090.30	Professional		$1,148.15	$1,621.81	$3,090.30
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 / $1,698.24 / $2,344.23	Professional		$1,288.25	$1,698.24	$2,344.23