Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $4,897.79 / $6,918.31	Facility		$3,630.78	$4,897.79	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,951.21 / $5,011.87	Professional		$2,511.89	$2,951.21	$5,011.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $6,456.54	Facility		$4,265.80	$4,265.80	$6,456.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $4,786.30 / $6,456.54	Professional		$2,691.53	$4,786.30	$6,456.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,388.44 / $6,025.60	Professional		$2,187.76	$3,388.44	$6,025.60
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $4,897.79 / $8,511.38	Facility		$3,630.78	$4,897.79	$8,511.38
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,235.94 / $4,466.84	Professional		$2,630.27	$3,235.94	$4,466.84
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,235.94 / $5,248.07	Professional		$2,041.74	$3,235.94	$5,248.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $7,413.10 / $14,454.40	Facility		$1,862.09	$7,413.10	$14,454.40
United Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,467.37 / $4,466.84	Professional		$2,691.53	$3,467.37	$4,466.84