Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $4,897.79 / $4,897.79	Facility		$1,949.84	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,513.56 / $2,398.83	Professional		$1,288.25	$1,513.56	$2,398.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $2,290.87	Facility		$457.09	$457.09	$2,290.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,290.87 / $2,398.83	Professional		$1,584.89	$2,290.87	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,584.89 / $2,630.27	Professional		$1,122.02	$1,584.89	$2,630.27
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,715.35 / $4,897.79	Facility		$1,949.84	$3,715.35	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,584.89 / $2,089.30	Professional		$1,258.93	$1,584.89	$2,089.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,737.80 / $2,238.72	Professional		$1,318.26	$1,737.80	$2,238.72
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 $1,288.25 / $1,513.56 / $2,290.87	Professional		$1,288.25	$1,513.56	$2,290.87