Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $5,754.40	Facility		$4,897.79	$4,897.79	$5,754.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,778.28 / $4,677.35	Professional		$1,513.56	$1,778.28	$4,677.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Facility		$3,890.45	$3,890.45	$3,890.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $3,630.78 / $3,890.45	Professional		$1,778.28	$3,630.78	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,041.74 / $4,786.30	Professional		$1,318.26	$2,041.74	$4,786.30
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $4,897.79 / $6,918.31	Facility		$2,187.76	$4,897.79	$6,918.31
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,995.26 / $2,884.03	Professional		$1,548.82	$1,995.26	$2,884.03
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,041.74 / $3,090.30	Professional		$1,230.27	$2,041.74	$3,090.30
United Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $10,000.00 / $19,054.61	Facility		$5,011.87	$10,000.00	$19,054.61
United Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,089.30 / $2,691.53	Professional		$1,621.81	$2,089.30	$2,691.53