Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $10,000.00 / $10,000.00	Facility		$4,073.80	$10,000.00	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,168.69 / $4,265.80	Professional		$4,073.80	$4,168.69	$4,265.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $2,754.23	Facility		$1,023.29	$1,584.89	$2,754.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,023.29 / $1,023.29	Professional		$977.24	$1,023.29	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,265.80	Professional		$4,265.80	$4,265.80	$4,265.80
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $5,011.87 / $15,488.17	Facility		$4,168.69	$5,011.87	$15,488.17
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $5,370.32 / $7,244.36	Professional		$4,073.80	$5,370.32	$7,244.36
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,265.80	Professional		$4,265.80	$4,265.80	$4,265.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,698.24	Facility		$1,023.29	$1,023.29	$1,698.24
United Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,570.88	Professional		$4,168.69	$4,168.69	$4,570.88