Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $5,248.07	Facility		$2,884.03	$2,884.03	$5,248.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,511.89 / $2,884.03	Professional		$1,513.56	$2,511.89	$2,884.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $3,019.95 / $3,388.44	Facility		$10.96	$3,019.95	$3,388.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,019.95 / $3,019.95	Professional		$2,884.03	$3,019.95	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $4,570.88	Professional		$3,630.78	$3,630.78	$4,570.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $7,244.36	Facility		$2,884.03	$2,884.03	$7,244.36
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,090.30 / $4,073.80	Professional		$2,570.40	$3,090.30	$4,073.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Professional		$3,630.78	$3,630.78	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $3,019.95 / $3,630.78	Facility		$2,691.53	$3,019.95	$3,630.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,819.70 / $3,019.95	Professional		$1,258.93	$1,819.70	$3,019.95