Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $2,187.76	Facility		$1,202.26	$1,202.26	$2,187.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,047.13 / $1,513.56	Professional		$851.14	$1,047.13	$1,513.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,905.46 / $3,388.44	Facility		$1,258.93	$1,905.46	$3,388.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,258.93 / $1,258.93	Professional		$1,202.26	$1,258.93	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,949.84	Professional		$1,548.82	$1,548.82	$1,949.84
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $3,019.95	Facility		$1,202.26	$1,202.26	$3,019.95
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,288.25 / $1,737.80	Professional		$1,047.13	$1,288.25	$1,737.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Professional		$1,548.82	$1,548.82	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,258.93 / $1,513.56	Facility		$1,148.15	$1,258.93	$1,513.56
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $758.58 / $1,258.93	Professional		$537.03	$758.58	$1,258.93