Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $1,659.59	Facility		$912.01	$912.01	$1,659.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $812.83 / $1,148.15	Professional		$630.96	$812.83	$1,148.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $660.69 / $660.69	Professional		$630.96	$660.69	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,148.15 / $1,445.44	Professional		$1,096.48	$1,148.15	$1,445.44
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $2,290.87	Facility		$912.01	$912.01	$2,290.87
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $954.99 / $1,288.25	Professional		$776.25	$954.99	$1,288.25
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,148.15	Professional		$1,096.48	$1,096.48	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $954.99 / $954.99	Facility		$478.63	$954.99	$954.99
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $575.44 / $602.56	Professional		$398.11	$575.44	$602.56