Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $4,897.79 / $4,897.79	Facility		$2,290.87	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,905.46 / $3,311.31	Professional		$1,659.59	$1,905.46	$3,311.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $2,691.53	Facility		$1,659.59	$1,659.59	$2,691.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,691.53 / $3,981.07	Professional		$2,570.40	$2,691.53	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,089.30 / $2,951.21	Professional		$1,584.89	$2,089.30	$2,951.21
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $4,897.79 / $5,370.32	Facility		$2,290.87	$4,897.79	$5,370.32
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,089.30 / $2,818.38	Professional		$1,737.80	$2,089.30	$2,818.38
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,089.30 / $2,884.03	Professional		$1,905.46	$2,089.30	$2,884.03
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 $1,862.09 / $2,344.23 / $3,019.95	Professional		$1,862.09	$2,344.23	$3,019.95