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 $1,202.26 / $1,412.54 / $2,290.87	Professional		$1,202.26	$1,412.54	$2,290.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Facility		$1,949.84	$1,949.84	$1,949.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $1,230.27 / $1,949.84	Professional		$389.05	$1,230.27	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,659.59 / $3,801.89	Professional		$1,258.93	$1,659.59	$3,801.89
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $3,715.35 / $4,897.79	Facility		$1,380.38	$3,715.35	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,445.44 / $1,949.84	Professional		$1,230.27	$1,445.44	$1,949.84
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,548.82 / $2,951.21	Professional		$1,096.48	$1,548.82	$2,951.21
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 $1,230.27 / $1,584.89 / $2,238.72	Professional		$1,230.27	$1,584.89	$2,238.72