Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $4,897.79 / $4,897.79	Facility		$1,659.59	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,348.96 / $2,187.76	Professional		$1,122.02	$1,348.96	$2,187.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,951.21 / $2,951.21	Facility		$1,949.84	$2,951.21	$2,951.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $2,951.21 / $2,951.21	Professional		$1,148.15	$2,951.21	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,584.89 / $2,238.72	Professional		$1,122.02	$1,584.89	$2,238.72
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $4,073.80 / $4,897.79	Facility		$1,659.59	$4,073.80	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,513.56 / $2,137.96	Professional		$1,230.27	$1,513.56	$2,137.96
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,737.80 / $1,949.84	Professional		$1,258.93	$1,737.80	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $7,943.28 / $17,782.79	Facility		$4,265.80	$7,943.28	$17,782.79
United Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,584.89 / $2,137.96	Professional		$1,288.25	$1,584.89	$2,137.96