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 $1,288.25 / $1,479.11 / $2,454.71	Professional		$1,288.25	$1,479.11	$2,454.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $2,089.30	Facility		$1,288.25	$1,288.25	$2,089.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $1,995.26 / $2,089.30	Professional		$416.87	$1,995.26	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,862.09 / $4,168.69	Professional		$1,348.96	$1,862.09	$4,168.69
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $4,168.69 / $4,897.79	Facility		$1,548.82	$4,168.69	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,584.89 / $2,187.76	Professional		$1,318.26	$1,584.89	$2,187.76
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,621.81 / $3,162.28	Professional		$1,174.90	$1,621.81	$3,162.28
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 $1,318.26 / $1,778.28 / $2,454.71	Professional		$1,318.26	$1,778.28	$2,454.71