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 $1,047.13 / $1,348.96 / $2,089.30	Professional		$1,047.13	$1,348.96	$2,089.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,691.53 / $2,691.53	Professional		$1,819.70	$2,691.53	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,230.27 / $2,630.27	Professional		$870.96	$1,230.27	$2,630.27
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $4,073.80 / $5,754.40	Facility		$1,584.89	$4,073.80	$5,754.40
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,258.93 / $1,819.70	Professional		$977.24	$1,258.93	$1,819.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,071.52 / $1,380.38	Professional		$812.83	$1,071.52	$1,380.38
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 $1,071.52 / $1,318.26 / $1,698.24	Professional		$1,071.52	$1,318.26	$1,698.24