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 $1,122.02 / $1,412.54 / $2,238.72	Professional		$1,122.02	$1,412.54	$2,238.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $2,754.23	Facility		$1,819.70	$1,819.70	$2,754.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $2,754.23 / $2,754.23	Professional		$407.38	$2,754.23	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,513.56 / $1,949.84	Professional		$1,122.02	$1,513.56	$1,949.84
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $4,073.80 / $5,754.40	Facility		$1,584.89	$4,073.80	$5,754.40
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,412.54 / $1,995.26	Professional		$1,202.26	$1,412.54	$1,995.26
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,445.44 / $1,949.84	Professional		$1,348.96	$1,445.44	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $6,918.31 / $15,135.61	Facility		$3,311.31	$6,918.31	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,513.56 / $2,089.30	Professional		$1,230.27	$1,513.56	$2,089.30