Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,073.80 / $4,897.79	Facility		$1,023.29	$4,073.80	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $794.33 / $1,380.38	Professional		$630.96	$794.33	$1,380.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,659.59	Facility		$1,122.02	$1,122.02	$1,659.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $1,659.59 / $1,659.59	Professional		$223.87	$1,659.59	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $891.25 / $3,467.37	Professional		$630.96	$891.25	$3,467.37
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $4,073.80 / $4,897.79	Facility		$954.99	$4,073.80	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $954.99 / $1,258.93	Professional		$691.83	$954.99	$1,258.93
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $812.83 / $3,090.30	Professional		$602.56	$812.83	$3,090.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $5,888.44 / $10,000.00	Facility		$2,884.03	$5,888.44	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $912.01 / $1,202.26	Professional		$724.44	$912.01	$1,202.26