Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,897.79 / $4,897.79	Facility		$1,380.38	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,258.93 / $1,905.46	Professional		$1,000.00	$1,258.93	$1,905.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $1,621.81	Facility		$275.42	$275.42	$1,621.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,621.81 / $1,621.81	Professional		$977.24	$1,621.81	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,288.25 / $1,819.70	Professional		$977.24	$1,288.25	$1,819.70
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $3,235.94 / $4,897.79	Facility		$1,380.38	$3,235.94	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,288.25 / $1,737.80	Professional		$1,071.52	$1,288.25	$1,737.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,288.25 / $1,778.28	Professional		$1,148.15	$1,288.25	$1,778.28
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 $1,148.15 / $1,412.54 / $1,862.09	Professional		$1,148.15	$1,412.54	$1,862.09