Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $5,754.40	Facility		$4,897.79	$4,897.79	$5,754.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,511.89 / $3,388.44	Professional		$2,137.96	$2,511.89	$3,388.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,128.61 / $5,128.61	Facility		$2,137.96	$5,128.61	$5,128.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $4,897.79 / $5,128.61	Professional		$2,137.96	$4,897.79	$5,128.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,754.23 / $10,715.19	Professional		$2,187.76	$2,754.23	$10,715.19
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $5,754.40 / $7,943.28	Facility		$3,162.28	$5,754.40	$7,943.28
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,019.95 / $3,890.45	Professional		$2,398.83	$3,019.95	$3,890.45
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,630.27 / $10,232.93	Professional		$2,187.76	$2,630.27	$10,232.93
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $5,888.44 / $10,000.00	Facility		$2,884.03	$5,888.44	$10,000.00
United 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