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 $1,000.00 / $1,122.02 / $1,949.84	Professional		$1,000.00	$1,122.02	$1,949.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,778.28 / $2,511.89	Professional		$1,047.13	$1,778.28	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,318.26 / $3,162.28	Professional		$851.14	$1,318.26	$3,162.28
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $4,897.79 / $6,918.31	Facility		$1,412.54	$4,897.79	$6,918.31
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,258.93 / $1,737.80	Professional		$1,023.29	$1,258.93	$1,737.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,258.93 / $1,995.26	Professional		$794.33	$1,258.93	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $10,232.93 / $28,840.32	Facility		$5,011.87	$10,232.93	$28,840.32
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,318.26 / $1,737.80	Professional		$1,023.29	$1,318.26	$1,737.80