Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $4,897.79 / $6,918.31	Facility		$1,513.56	$4,897.79	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,202.26 / $2,041.74	Professional		$1,047.13	$1,202.26	$2,041.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Facility		$2,630.27	$2,630.27	$2,630.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,905.46 / $2,630.27	Professional		$1,778.28	$1,905.46	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,380.38 / $3,311.31	Professional		$891.25	$1,380.38	$3,311.31
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,548.13 / $6,918.31	Facility		$1,513.56	$3,548.13	$6,918.31
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,348.96 / $1,905.46	Professional		$1,071.52	$1,348.96	$1,905.46
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,348.96 / $2,137.96	Professional		$851.14	$1,348.96	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $10,000.00 / $19,054.61	Facility		$5,011.87	$10,000.00	$19,054.61
United Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,412.54 / $1,862.09	Professional		$1,096.48	$1,412.54	$1,862.09