Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $3,890.45	Facility		$2,089.30	$2,089.30	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,819.70 / $2,754.23	Professional		$1,479.11	$1,819.70	$2,754.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Facility		$1,548.82	$1,548.82	$1,548.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,548.82 / $1,548.82	Professional		$1,479.11	$1,548.82	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,691.53 / $3,388.44	Professional		$2,570.40	$2,691.53	$3,388.44
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $5,248.07	Facility		$2,089.30	$2,089.30	$5,248.07
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,238.72 / $3,019.95	Professional		$1,778.28	$2,238.72	$3,019.95
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,691.53	Professional		$2,570.40	$2,570.40	$2,691.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $2,238.72 / $2,238.72	Facility		$1,122.02	$2,238.72	$2,238.72
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,318.26 / $1,412.54	Professional		$933.25	$1,318.26	$1,412.54