Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $2,344.23	Facility		$1,258.93	$1,258.93	$2,344.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,122.02 / $1,584.89	Professional		$891.25	$1,122.02	$1,584.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Facility		$933.25	$933.25	$933.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $933.25 / $933.25	Professional		$891.25	$933.25	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $2,041.74	Professional		$1,621.81	$1,621.81	$2,041.74
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $3,162.28	Facility		$1,258.93	$1,258.93	$3,162.28
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,348.96 / $1,819.70	Professional		$1,096.48	$1,348.96	$1,819.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Professional		$1,621.81	$1,621.81	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,348.96 / $1,621.81	Facility		$1,202.26	$1,348.96	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $794.33 / $1,348.96	Professional		$562.34	$794.33	$1,348.96