Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $5,754.40	Facility		$4,897.79	$4,897.79	$5,754.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,548.82 / $2,344.23	Professional		$1,258.93	$1,548.82	$2,344.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $3,019.95	Facility		$1,258.93	$1,258.93	$3,019.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,041.74 / $3,019.95	Professional		$1,202.26	$2,041.74	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,318.26 / $2,951.21	Professional		$977.24	$1,318.26	$2,951.21
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $4,897.79 / $6,918.31	Facility		$1,778.28	$4,897.79	$6,918.31
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,445.44 / $1,949.84	Professional		$1,174.90	$1,445.44	$1,949.84
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,288.25 / $1,548.82	Professional		$954.99	$1,288.25	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $6,309.57 / $10,471.29	Facility		$2,951.21	$6,309.57	$10,471.29
United Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,445.44 / $1,905.46	Professional		$1,202.26	$1,445.44	$1,905.46