Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $3,090.30	Facility		$1,659.59	$1,659.59	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,479.11 / $2,089.30	Professional		$1,230.27	$1,479.11	$2,089.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Facility		$1,380.38	$1,380.38	$1,380.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,380.38 / $1,380.38	Professional		$1,288.25	$1,380.38	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,691.53	Professional		$2,137.96	$2,137.96	$2,691.53
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $4,168.69	Facility		$1,659.59	$1,659.59	$4,168.69
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,862.09 / $2,570.40	Professional		$1,479.11	$1,862.09	$2,570.40
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Professional		$2,137.96	$2,137.96	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,949.84 / $2,089.30	Facility		$1,737.80	$1,949.84	$2,089.30
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,047.13 / $1,737.80	Professional		$741.31	$1,047.13	$1,737.80