Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,778.28 / $2,818.38	Facility		$1,548.82	$1,778.28	$2,818.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,548.82 / $2,238.72	Professional		$1,258.93	$1,548.82	$2,238.72
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 $1,230.27 / $1,318.26 / $1,318.26	Professional		$1,230.27	$1,318.26	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $2,344.23	Professional		$1,862.09	$1,862.09	$2,344.23
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,778.28 / $4,466.84	Facility		$1,584.89	$1,778.28	$4,466.84
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,862.09 / $2,511.89	Professional		$1,548.82	$1,862.09	$2,511.89
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Professional		$1,862.09	$1,862.09	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $2,238.72	Facility		$1,862.09	$1,862.09	$2,238.72
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,122.02 / $1,862.09	Professional		$776.25	$1,122.02	$1,862.09