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 $933.25 / $1,148.15 / $2,884.03	Professional		$933.25	$1,148.15	$2,884.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,621.81 / $1,621.81	Professional		$1,023.29	$1,621.81	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,288.25 / $2,754.23	Professional		$831.76	$1,288.25	$2,754.23
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $3,162.28 / $4,897.79	Facility		$1,380.38	$3,162.28	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,288.25 / $1,862.09	Professional		$977.24	$1,288.25	$1,862.09
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,174.90 / $1,949.84	Professional		$794.33	$1,174.90	$1,949.84
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 $1,023.29 / $1,288.25 / $1,698.24	Professional		$1,023.29	$1,288.25	$1,698.24