Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,200.34 / $1,200.34 / $1,872.55	Facility		$1,200.34	$1,200.34	$1,872.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,010.82 / $1,200.34 / $1,200.34	Professional		$1,010.82	$1,200.34	$1,200.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $886.05 / $886.05 / $886.05	Facility		$886.05	$886.05	$886.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $841.75 / $886.05 / $985.56	Professional		$841.75	$886.05	$985.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,540.08 / $1,540.08 / $1,925.10	Professional		$1,540.08	$1,540.08	$1,925.10
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,200.34 / $1,200.34 / $2,205.64	Facility		$1,200.34	$1,200.34	$2,205.64
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,200.34 / $1,212.99 / $1,516.23	Professional		$1,200.34	$1,212.99	$1,516.23
United Facility/Professional Professional Modifier Low / Median / High Price $530.67 / $758.12 / $1,263.53	Professional		$530.67	$758.12	$1,263.53