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 $1,174.90 / $1,348.96 / $2,290.87	Professional		$1,174.90	$1,348.96	$2,290.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,905.46 / $1,905.46	Facility		$1,174.90	$1,905.46	$1,905.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $1,905.46 / $1,905.46	Professional		$380.19	$1,905.46	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,513.56 / $2,089.30	Professional		$1,122.02	$1,513.56	$2,089.30
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,801.89 / $4,897.79	Facility		$1,621.81	$3,801.89	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,513.56 / $2,041.74	Professional		$1,230.27	$1,513.56	$2,041.74
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,513.56 / $2,089.30	Professional		$1,288.25	$1,513.56	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $1,584.89 / $4,073.80	Facility		$323.59	$1,584.89	$4,073.80
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