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 $2,041.74 / $2,570.40 / $3,090.30	Professional		$2,041.74	$2,570.40	$3,090.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $2,290.87 / $2,570.40	Facility		$10.96	$2,290.87	$2,570.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,290.87 / $2,290.87	Professional		$2,137.96	$2,290.87	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,801.89	Professional		$3,019.95	$3,019.95	$3,801.89
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 $2,511.89 / $3,019.95 / $4,073.80	Professional		$2,511.89	$3,019.95	$4,073.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Professional		$3,019.95	$3,019.95	$3,019.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $3,019.95 / $3,630.78	Facility		$2,754.23	$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