Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $10,471.29	Facility		$4,265.80	$4,265.80	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,365.16 / $4,466.84	Professional		$4,265.80	$4,365.16	$4,466.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Facility		$2,454.71	$2,454.71	$2,454.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,454.71 / $2,454.71	Professional		$2,344.23	$2,454.71	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Professional		$4,466.84	$4,466.84	$4,466.84
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $5,248.07 / $15,488.17	Facility		$4,786.30	$5,248.07	$15,488.17
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $5,248.07 / $7,244.36	Professional		$4,265.80	$5,248.07	$7,244.36
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Professional		$4,466.84	$4,466.84	$4,466.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $5,248.07	Facility		$1,737.80	$1,737.80	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $5,248.07 / $5,623.41	Professional		$5,248.07	$5,248.07	$5,623.41