Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,897.79	Facility		$4,073.80	$4,073.80	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,348.96 / $2,137.96	Professional		$1,202.26	$1,348.96	$2,137.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $3,019.95	Facility		$2,041.74	$2,041.74	$3,019.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,187.76 / $3,019.95	Professional		$1,258.93	$2,187.76	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,412.54 / $2,818.38	Professional		$891.25	$1,412.54	$2,818.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $4,073.80 / $5,754.40	Facility		$1,737.80	$4,073.80	$5,754.40
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,513.56 / $2,041.74	Professional		$1,202.26	$1,513.56	$2,041.74
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,380.38 / $2,398.83	Professional		$870.96	$1,380.38	$2,398.83
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $7,413.10 / $14,454.40	Facility		$4,265.80	$7,413.10	$14,454.40
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,479.11 / $1,905.46	Professional		$870.96	$1,479.11	$1,905.46