Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $4,466.84	Facility		$2,454.71	$2,454.71	$4,466.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,187.76 / $3,090.30	Professional		$1,698.24	$2,187.76	$3,090.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility		$1,819.70	$1,819.70	$1,819.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,819.70 / $1,819.70	Professional		$1,698.24	$1,819.70	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,890.45	Professional		$3,162.28	$3,162.28	$3,890.45
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $6,165.95	Facility		$2,454.71	$2,454.71	$6,165.95
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,630.27 / $3,467.37	Professional		$2,187.76	$2,630.27	$3,467.37
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Professional		$3,162.28	$3,162.28	$3,162.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,570.40 / $3,090.30	Facility		$2,290.87	$2,570.40	$3,090.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,548.82 / $2,570.40	Professional		$1,071.52	$1,548.82	$2,570.40