Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $4,897.79 / $4,897.79	Facility		$1,698.24	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,348.96 / $2,290.87	Professional		$1,122.02	$1,348.96	$2,290.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,187.76 / $2,187.76	Facility		$1,698.24	$2,187.76	$2,187.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,698.24 / $2,187.76	Professional		$1,000.00	$1,698.24	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,548.82 / $3,548.13	Professional		$1,071.52	$1,548.82	$3,548.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $4,168.69 / $4,897.79	Facility		$1,698.24	$4,168.69	$4,897.79
Health Alliance Plan 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
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,318.26 / $2,570.40	Professional		$1,000.00	$1,318.26	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $3,890.45 / $6,025.60	Facility		$1,230.27	$3,890.45	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,479.11 / $1,905.46	Professional		$1,230.27	$1,479.11	$1,905.46