Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $4,897.79 / $4,897.79	Facility		$2,398.83	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,137.96 / $3,235.94	Professional		$1,737.80	$2,137.96	$3,235.94
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 $537.03 / $2,630.27 / $2,630.27	Professional		$537.03	$2,630.27	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,511.89 / $2,951.21	Professional		$1,621.81	$2,511.89	$2,951.21
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $4,897.79 / $5,888.44	Facility		$2,398.83	$4,897.79	$5,888.44
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,238.72 / $3,019.95	Professional		$1,737.80	$2,238.72	$3,019.95
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,398.83 / $3,019.95	Professional		$1,621.81	$2,398.83	$3,019.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,890.45 / $6,025.60	Facility		$1,698.24	$3,890.45	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,454.71 / $3,162.28	Professional		$2,041.74	$2,454.71	$3,162.28