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 $1,202.26 / $1,380.38 / $2,344.23	Professional		$1,202.26	$1,380.38	$2,344.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Facility		$1,258.93	$1,258.93	$1,258.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,995.26 / $1,995.26	Professional		$1,258.93	$1,995.26	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,584.89 / $3,890.45	Professional		$977.24	$1,584.89	$3,890.45
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $4,897.79 / $6,918.31	Facility		$1,698.24	$4,897.79	$6,918.31
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,513.56 / $2,089.30	Professional		$1,230.27	$1,513.56	$2,089.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,380.38 / $2,398.83	Professional		$933.25	$1,380.38	$2,398.83
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 $1,288.25 / $1,584.89 / $2,089.30	Professional		$1,288.25	$1,584.89	$2,089.30