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 / $6,918.31	Facility		$4,897.79	$4,897.79	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,318.26 / $1,949.84	Professional		$1,122.02	$1,318.26	$1,949.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,862.09 / $1,862.09	Facility		$1,174.90	$1,862.09	$1,862.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,691.53 / $2,818.38	Professional		$1,174.90	$2,691.53	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,412.54 / $1,995.26	Professional		$1,122.02	$1,412.54	$1,995.26
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $4,897.79 / $6,918.31	Facility		$1,479.11	$4,897.79	$6,918.31
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,412.54 / $1,949.84	Professional		$1,148.15	$1,412.54	$1,949.84
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,412.54 / $1,995.26	Professional		$1,148.15	$1,412.54	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $7,585.78 / $13,489.63	Facility		$4,265.80	$7,585.78	$13,489.63
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,479.11 / $2,041.74	Professional		$1,230.27	$1,479.11	$2,041.74