Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $4,897.79 / $4,897.79	Facility		$1,621.81	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,380.38 / $2,344.23	Professional		$1,202.26	$1,380.38	$2,344.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility		$1,202.26	$1,202.26	$1,202.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $1,905.46 / $1,905.46	Professional		$323.59	$1,905.46	$1,905.46
Cigna 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
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,890.45 / $4,897.79	Facility		$1,621.81	$3,890.45	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,513.56 / $2,041.74	Professional		$1,258.93	$1,513.56	$2,041.74
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,513.56 / $2,089.30	Professional		$1,348.96	$1,513.56	$2,089.30
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 $1,318.26 / $1,659.59 / $2,187.76	Professional		$1,318.26	$1,659.59	$2,187.76