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 / $2,187.76	Professional		$1,122.02	$1,288.25	$2,187.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $1,174.90 / $2,691.53	Professional		$309.03	$1,174.90	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,412.54 / $1,995.26	Professional		$1,071.52	$1,412.54	$1,995.26
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $3,630.78 / $4,897.79	Facility		$1,548.82	$3,630.78	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,412.54 / $1,905.46	Professional		$1,174.90	$1,412.54	$1,905.46
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,412.54 / $1,949.84	Professional		$1,174.90	$1,412.54	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,890.45 / $6,025.60	Facility		$1,698.24	$3,890.45	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,548.82 / $2,041.74	Professional		$1,230.27	$1,548.82	$2,041.74