Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $4,897.79	Facility		$2,884.03	$2,884.03	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $977.24 / $1,698.24	Professional		$831.76	$977.24	$1,698.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $2,187.76 / $2,187.76	Professional		$1,023.29	$2,187.76	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,071.52 / $2,344.23	Professional		$724.44	$1,071.52	$2,344.23
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,884.03 / $4,897.79	Facility		$1,230.27	$2,884.03	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,047.13 / $1,412.54	Professional		$870.96	$1,047.13	$1,412.54
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,000.00 / $1,778.28	Professional		$707.95	$1,000.00	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $7,585.78 / $15,135.61	Facility		$4,265.80	$7,585.78	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,071.52 / $1,412.54	Professional		$912.01	$1,071.52	$1,412.54