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 $1,380.38 / $1,621.81 / $2,818.38	Professional		$1,380.38	$1,621.81	$2,818.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $2,398.83 / $2,398.83	Facility		$407.38	$2,398.83	$2,398.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,570.40 / $3,630.78	Professional		$1,513.56	$2,570.40	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,905.46 / $4,466.84	Professional		$1,230.27	$1,905.46	$4,466.84
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $4,897.79 / $6,918.31	Facility		$2,041.74	$4,897.79	$6,918.31
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,862.09 / $2,511.89	Professional		$1,479.11	$1,862.09	$2,511.89
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,819.70 / $2,951.21	Professional		$1,174.90	$1,819.70	$2,951.21
United Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $11,481.54 / $28,840.32	Facility		$6,918.31	$11,481.54	$28,840.32
United Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,905.46 / $2,454.71	Professional		$1,513.56	$1,905.46	$2,454.71