Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,294.26 / $1,294.26 / $4,038.09	Facility		$1,294.26	$1,294.26	$4,038.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,294.26 / $1,294.26 / $1,429.07	Professional		$1,294.26	$1,294.26	$1,429.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,771.60 / $3,077.22 / $5,819.59	Facility		$1,771.60	$3,077.22	$5,819.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $648.40 / $1,429.07 / $1,483.00	Professional		$648.40	$1,429.07	$1,483.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,294.26 / $1,617.82 / $3,601.28	Facility		$1,294.26	$1,617.82	$3,601.28
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,294.26 / $1,429.07 / $1,714.88	Professional		$1,294.26	$1,429.07	$1,714.88
United Facility/Professional Professional Modifier Low / Median / High Price $1,388.63 / $1,388.63 / $1,473.34	Professional		$1,388.63	$1,388.63	$1,473.34