Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $4,897.79	Facility		$2,884.03	$2,884.03	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,995.26 / $3,162.28	Professional		$1,584.89	$1,995.26	$3,162.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $2,570.40	Facility		$512.86	$512.86	$2,570.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $2,570.40 / $2,570.40	Professional		$512.86	$2,570.40	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,949.84 / $2,754.23	Professional		$1,584.89	$1,949.84	$2,754.23
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $4,570.88 / $5,128.61	Facility		$2,187.76	$4,570.88	$5,128.61
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,995.26 / $2,754.23	Professional		$1,659.59	$1,995.26	$2,754.23
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,949.84 / $2,754.23	Professional		$1,584.89	$1,949.84	$2,754.23
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $7,585.78 / $13,489.63	Facility		$4,265.80	$7,585.78	$13,489.63
United Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,041.74 / $2,884.03	Professional		$1,659.59	$2,041.74	$2,884.03