Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $6,760.83	Facility		$3,715.35	$3,715.35	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,311.31 / $4,677.35	Professional		$2,570.40	$3,311.31	$4,677.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,691.53 / $2,691.53	Professional		$2,570.40	$2,691.53	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $5,888.44	Professional		$4,677.35	$4,677.35	$5,888.44
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $9,332.54	Facility		$3,715.35	$3,715.35	$9,332.54
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,890.45 / $5,248.07	Professional		$3,162.28	$3,890.45	$5,248.07
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $4,677.35	Professional		$4,677.35	$4,677.35	$4,677.35
United Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,890.45 / $4,677.35	Facility		$3,467.37	$3,890.45	$4,677.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,344.23 / $3,890.45	Professional		$1,621.81	$2,344.23	$3,890.45