Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $3,311.31	Facility		$1,819.70	$1,819.70	$3,311.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,548.82 / $1,819.70	Professional		$1,258.93	$1,548.82	$1,819.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility		$1,318.26	$1,318.26	$1,318.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,318.26 / $1,318.26	Professional		$1,258.93	$1,318.26	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,884.03	Professional		$2,290.87	$2,290.87	$2,884.03
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $4,570.88	Facility		$1,819.70	$1,819.70	$4,570.88
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,905.46 / $2,570.40	Professional		$1,548.82	$1,905.46	$2,570.40
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Professional		$2,290.87	$2,290.87	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,905.46 / $2,290.87	Facility		$1,698.24	$1,905.46	$2,290.87
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,148.15 / $1,905.46	Professional		$794.33	$1,148.15	$1,905.46