Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $3,981.07	Facility		$2,187.76	$2,187.76	$3,981.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,862.09 / $2,691.53	Professional		$1,513.56	$1,862.09	$2,691.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Facility		$1,584.89	$1,584.89	$1,584.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,584.89 / $1,584.89	Professional		$1,513.56	$1,584.89	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $3,467.37	Professional		$2,754.23	$2,754.23	$3,467.37
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $5,495.41	Facility		$2,187.76	$2,187.76	$5,495.41
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,344.23 / $3,090.30	Professional		$1,862.09	$2,344.23	$3,090.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Professional		$2,754.23	$2,754.23	$2,754.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,290.87 / $2,754.23	Facility		$2,041.74	$2,290.87	$2,754.23
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,380.38 / $2,290.87	Professional		$954.99	$1,380.38	$2,290.87