Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,884.03 / $3,235.94	Facility		$1,023.29	$2,884.03	$3,235.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,071.52 / $1,230.27	Professional		$1,023.29	$1,071.52	$1,230.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,238.72 / $4,570.88	Facility		$1,071.52	$2,238.72	$4,570.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,071.52 / $1,122.02	Professional		$1,000.00	$1,071.52	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Professional		$1,096.48	$1,096.48	$1,096.48
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,884.03 / $3,548.13	Facility		$1,148.15	$2,884.03	$3,548.13
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,096.48 / $1,778.28	Professional		$1,023.29	$1,096.48	$1,778.28
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Professional		$1,096.48	$1,096.48	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,071.52 / $1,348.96	Facility		$812.83	$1,071.52	$1,348.96
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,148.15 / $1,288.25	Professional		$1,071.52	$1,148.15	$1,288.25