Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $4,897.79 / $4,897.79	Facility		$1,659.59	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,380.38 / $2,238.72	Professional		$1,148.15	$1,380.38	$2,238.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,905.46 / $1,905.46	Facility		$380.19	$1,905.46	$1,905.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,905.46 / $2,041.74	Professional		$1,202.26	$1,905.46	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,621.81 / $3,467.37	Professional		$1,174.90	$1,621.81	$3,467.37
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $3,311.31 / $4,897.79	Facility		$1,230.27	$3,311.31	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,412.54 / $1,995.26	Professional		$1,202.26	$1,412.54	$1,995.26
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,479.11 / $2,818.38	Professional		$1,047.13	$1,479.11	$2,818.38
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 $1,148.15 / $1,513.56 / $2,137.96	Professional		$1,148.15	$1,513.56	$2,137.96