Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,897.79 / $4,897.79	Facility		$2,630.27	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,089.30 / $3,715.35	Professional		$1,737.80	$2,089.30	$3,715.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $3,019.95	Facility		$1,905.46	$1,905.46	$3,019.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $3,019.95 / $3,019.95	Professional		$602.56	$3,019.95	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,511.89 / $3,548.13	Professional		$1,778.28	$2,511.89	$3,548.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,897.79 / $6,456.54	Facility		$2,630.27	$4,897.79	$6,456.54
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,454.71 / $3,311.31	Professional		$1,949.84	$2,454.71	$3,311.31
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,754.23 / $3,162.28	Professional		$2,041.74	$2,754.23	$3,162.28
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 $2,089.30 / $2,511.89 / $3,467.37	Professional		$2,089.30	$2,511.89	$3,467.37