Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $4,897.79 / $4,897.79	Facility		$1,548.82	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,288.25 / $2,089.30	Professional		$1,122.02	$1,288.25	$2,089.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $363.08 / $363.08	Facility		$309.03	$363.08	$363.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $1,819.70 / $1,819.70	Professional		$363.08	$1,819.70	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,513.56 / $3,467.37	Professional		$1,148.15	$1,513.56	$3,467.37
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $3,388.44 / $4,897.79	Facility		$1,258.93	$3,388.44	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,348.96 / $1,778.28	Professional		$1,122.02	$1,348.96	$1,778.28
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,412.54 / $2,691.53	Professional		$1,000.00	$1,412.54	$2,691.53
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 $1,122.02 / $1,479.11 / $2,041.74	Professional		$1,122.02	$1,479.11	$2,041.74