Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,897.79 / $4,897.79	Facility		$2,570.40	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,238.72 / $2,884.03	Professional		$1,905.46	$2,238.72	$2,884.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $2,818.38	Facility		$1,778.28	$1,778.28	$2,818.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $2,818.38 / $2,818.38	Professional		$562.34	$2,818.38	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,630.27 / $3,090.30	Professional		$1,412.54	$2,630.27	$3,090.30
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,897.79 / $6,456.54	Facility		$2,570.40	$4,897.79	$6,456.54
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,398.83 / $3,090.30	Professional		$1,905.46	$2,398.83	$3,090.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,949.84 / $3,019.95	Professional		$1,737.80	$1,949.84	$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 $2,238.72 / $3,019.95 / $3,890.45	Professional		$2,238.72	$3,019.95	$3,890.45