Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $10,000.00 / $11,220.18	Facility		$3,630.78	$10,000.00	$11,220.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,715.35 / $4,466.84	Professional		$3,630.78	$3,715.35	$4,466.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Facility		$4,168.69	$4,168.69	$4,168.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $4,168.69 / $4,168.69	Professional		$3,981.07	$4,168.69	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Professional		$3,801.89	$3,801.89	$3,801.89
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $10,000.00 / $12,882.50	Facility		$3,630.78	$10,000.00	$12,882.50
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $4,786.30 / $6,309.57	Professional		$3,630.78	$4,786.30	$6,309.57
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Professional		$3,801.89	$3,801.89	$3,801.89
United Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,265.80	Facility		$4,168.69	$4,168.69	$4,265.80
United Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $4,073.80	Professional		$3,715.35	$3,715.35	$4,073.80