Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $3,019.95	Facility		$1,659.59	$1,659.59	$3,019.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,412.54 / $2,089.30	Professional		$1,148.15	$1,412.54	$2,089.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility		$1,230.27	$1,230.27	$1,230.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,230.27 / $1,230.27	Professional		$1,148.15	$1,230.27	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,630.27	Professional		$2,137.96	$2,137.96	$2,630.27
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $4,168.69	Facility		$1,659.59	$1,659.59	$4,168.69
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,778.28 / $2,344.23	Professional		$1,412.54	$1,778.28	$2,344.23
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Professional		$2,137.96	$2,137.96	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,737.80 / $2,089.30	Facility		$1,548.82	$1,737.80	$2,089.30
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,047.13 / $1,737.80	Professional		$724.44	$1,047.13	$1,737.80