Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,897.79 / $6,918.31	Facility		$2,344.23	$4,897.79	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,041.74 / $3,019.95	Professional		$1,778.28	$2,041.74	$3,019.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $2,951.21	Facility		$1,819.70	$1,819.70	$2,951.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $4,365.16 / $4,365.16	Professional		$1,819.70	$4,365.16	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,290.87 / $3,090.30	Professional		$1,819.70	$2,290.87	$3,090.30
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,897.79 / $6,918.31	Facility		$2,344.23	$4,897.79	$6,918.31
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,290.87 / $3,019.95	Professional		$1,778.28	$2,290.87	$3,019.95
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,290.87 / $3,090.30	Professional		$2,089.30	$2,290.87	$3,090.30
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 $1,995.26 / $2,398.83 / $3,235.94	Professional		$1,995.26	$2,398.83	$3,235.94