Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $8,128.31 / $9,120.11	Facility		$2,884.03	$8,128.31	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,951.21 / $3,630.78	Professional		$2,884.03	$2,951.21	$3,630.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility		$3,090.30	$3,090.30	$3,090.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,090.30 / $3,090.30	Professional		$2,884.03	$3,090.30	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Professional		$3,090.30	$3,090.30	$3,090.30
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $8,128.31 / $10,471.29	Facility		$2,884.03	$8,128.31	$10,471.29
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,801.89 / $5,248.07	Professional		$2,884.03	$3,801.89	$5,248.07
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Professional		$3,090.30	$3,090.30	$3,090.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,884.03 / $2,884.03	Facility		$2,754.23	$2,884.03	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,235.94	Professional		$3,019.95	$3,019.95	$3,235.94