Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $4,897.79 / $4,897.79	Facility		$1,737.80	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,548.82 / $2,344.23	Professional		$1,258.93	$1,548.82	$2,344.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility		$2,884.03	$2,884.03	$2,884.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,041.74 / $2,884.03	Professional		$1,202.26	$2,041.74	$2,884.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,819.70 / $2,089.30	Professional		$1,148.15	$1,819.70	$2,089.30
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $4,365.16 / $4,897.79	Facility		$1,737.80	$4,365.16	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,621.81 / $2,238.72	Professional		$1,258.93	$1,621.81	$2,238.72
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,584.89 / $2,290.87	Professional		$1,148.15	$1,584.89	$2,290.87
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 $1,479.11 / $1,819.70 / $2,344.23	Professional		$1,479.11	$1,819.70	$2,344.23