Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $4,897.79 / $4,897.79	Facility		$1,905.46	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,584.89 / $2,691.53	Professional		$1,258.93	$1,584.89	$2,691.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,288.25 / $4,570.88	Facility		$512.86	$1,288.25	$4,570.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,090.30 / $4,570.88	Professional		$1,949.84	$3,090.30	$4,570.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,819.70 / $2,570.40	Professional		$1,288.25	$1,819.70	$2,570.40
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $4,677.35 / $4,897.79	Facility		$1,905.46	$4,677.35	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,778.28 / $2,570.40	Professional		$1,380.38	$1,778.28	$2,570.40
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,949.84 / $2,290.87	Professional		$1,479.11	$1,949.84	$2,290.87
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 $1,513.56 / $1,819.70 / $2,511.89	Professional		$1,513.56	$1,819.70	$2,511.89