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 / $6,918.31	Facility		$4,897.79	$4,897.79	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,288.25 / $2,238.72	Professional		$1,148.15	$1,288.25	$2,238.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $2,951.21	Facility		$1,202.26	$1,202.26	$2,951.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,754.23 / $2,951.21	Professional		$1,949.84	$2,754.23	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,513.56 / $3,630.78	Professional		$977.24	$1,513.56	$3,630.78
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $4,897.79 / $6,918.31	Facility		$1,659.59	$4,897.79	$6,918.31
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,445.44 / $2,041.74	Professional		$1,174.90	$1,445.44	$2,041.74
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,380.38 / $2,344.23	Professional		$933.25	$1,380.38	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $10,964.78 / $22,387.21	Facility		$5,495.41	$10,964.78	$22,387.21
United Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,479.11 / $1,995.26	Professional		$1,202.26	$1,479.11	$1,995.26