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 $977.24 / $1,174.90 / $2,089.30	Professional		$977.24	$1,174.90	$2,089.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,737.80 / $1,737.80	Facility		$1,071.52	$1,737.80	$1,737.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,737.80 / $1,737.80	Professional		$1,023.29	$1,737.80	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,380.38 / $3,162.28	Professional		$870.96	$1,380.38	$3,162.28
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $3,162.28 / $4,897.79	Facility		$1,479.11	$3,162.28	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,318.26 / $1,778.28	Professional		$1,047.13	$1,318.26	$1,778.28
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,202.26 / $2,089.30	Professional		$831.76	$1,202.26	$2,089.30
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 $1,071.52 / $1,318.26 / $1,737.80	Professional		$1,071.52	$1,318.26	$1,737.80