Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,148.15	Professional		$1,047.13	$1,047.13	$1,148.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Facility		$891.25	$891.25	$891.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $891.25 / $912.01	Professional		$851.14	$891.25	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $1,047.13 / $1,047.13	Professional		$323.59	$1,047.13	$1,047.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $1,047.13 / $2,884.03	Facility		$239.88	$1,047.13	$2,884.03
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $1,047.13 / $1,380.38	Professional		$138.04	$1,047.13	$1,380.38
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $1,047.13 / $1,047.13	Professional		$323.59	$1,047.13	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $1,000.00	Facility		$489.78	$489.78	$1,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $302.00 / $1,000.00	Professional		$125.89	$302.00	$1,000.00