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 $1,148.15 / $1,348.96 / $2,041.74	Professional		$1,148.15	$1,348.96	$2,041.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility		$2,884.03	$2,884.03	$2,884.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,884.03 / $2,884.03	Professional		$1,905.46	$2,884.03	$2,884.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,445.44 / $2,041.74	Professional		$1,148.15	$1,445.44	$2,041.74
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $4,897.79 / $6,918.31	Facility		$1,513.56	$4,897.79	$6,918.31
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,479.11 / $2,041.74	Professional		$1,174.90	$1,479.11	$2,041.74
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,445.44 / $2,041.74	Professional		$1,174.90	$1,445.44	$2,041.74
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 $1,258.93 / $1,513.56 / $2,089.30	Professional		$1,258.93	$1,513.56	$2,089.30