Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,897.79	Facility		$4,073.80	$4,073.80	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,288.25 / $2,238.72	Professional		$1,096.48	$1,288.25	$2,238.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,905.46 / $1,905.46	Facility		$1,202.26	$1,905.46	$1,905.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,905.46 / $1,905.46	Professional		$1,202.26	$1,905.46	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,513.56 / $3,548.13	Professional		$977.24	$1,513.56	$3,548.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $4,073.80 / $5,754.40	Facility		$1,621.81	$4,073.80	$5,754.40
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,479.11 / $2,089.30	Professional		$1,148.15	$1,479.11	$2,089.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,380.38 / $2,290.87	Professional		$933.25	$1,380.38	$2,290.87
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 $1,202.26 / $1,479.11 / $1,995.26	Professional		$1,202.26	$1,479.11	$1,995.26