Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $4,897.79	Facility		$2,041.74	$2,041.74	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $89.13 / $147.91	Professional		$64.57	$89.13	$147.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $575.44	Facility		$114.82	$114.82	$575.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $549.54 / $575.44	Professional		$338.84	$549.54	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $107.15	Professional		$91.20	$91.20	$107.15
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $2,041.74 / $4,897.79	Facility		$229.09	$2,041.74	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $213.80 / $302.00	Professional		$83.18	$213.80	$302.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,258.93 / $2,041.74	Facility		$302.00	$1,258.93	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $89.13 / $123.03	Professional		$69.18	$89.13	$123.03