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 $1,905.46 / $2,187.76 / $3,715.35	Professional		$1,905.46	$2,187.76	$3,715.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Facility		$3,235.94	$3,235.94	$3,235.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $3,235.94 / $3,235.94	Professional		$645.65	$3,235.94	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,570.40 / $6,025.60	Professional		$1,659.59	$2,570.40	$6,025.60
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $5,754.40 / $6,918.31	Facility		$2,754.23	$5,754.40	$6,918.31
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,454.71 / $3,467.37	Professional		$1,995.26	$2,454.71	$3,467.37
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,344.23 / $3,890.45	Professional		$1,548.82	$2,344.23	$3,890.45
United Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $11,481.54 / $39,810.72	Facility		$6,918.31	$11,481.54	$39,810.72
United Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,630.27 / $3,467.37	Professional		$2,041.74	$2,630.27	$3,467.37