Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,897.79 / $4,897.79	Facility		$2,238.72	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,778.28 / $3,090.30	Professional		$1,513.56	$1,778.28	$3,090.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,630.78 / $3,630.78	Facility		$2,454.71	$3,630.78	$3,630.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $2,290.87 / $3,630.78	Professional		$724.44	$2,290.87	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,137.96 / $3,019.95	Professional		$1,513.56	$2,137.96	$3,019.95
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,897.79 / $5,495.41	Facility		$2,238.72	$4,897.79	$5,495.41
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,089.30 / $3,019.95	Professional		$1,659.59	$2,089.30	$3,019.95
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,344.23 / $2,691.53	Professional		$1,659.59	$2,344.23	$2,691.53
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 $1,737.80 / $2,041.74 / $2,818.38	Professional		$1,737.80	$2,041.74	$2,818.38