Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $4,897.79	Facility		$2,884.03	$2,884.03	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,288.25 / $2,570.40	Professional		$1,122.02	$1,288.25	$2,570.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $2,754.23	Facility		$1,819.70	$1,819.70	$2,754.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $2,754.23 / $2,754.23	Professional		$1,148.15	$2,754.23	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,548.82 / $3,548.13	Professional		$912.01	$1,548.82	$3,548.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $3,548.13 / $4,897.79	Facility		$1,548.82	$3,548.13	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,445.44 / $2,187.76	Professional		$1,148.15	$1,445.44	$2,187.76
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,380.38 / $2,238.72	Professional		$891.25	$1,380.38	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $7,413.10 / $12,882.50	Facility		$4,265.80	$7,413.10	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,548.82 / $2,041.74	Professional		$1,202.26	$1,548.82	$2,041.74