Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $4,897.79 / $6,918.31	Facility		$1,548.82	$4,897.79	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,380.38 / $2,137.96	Professional		$1,071.52	$1,380.38	$2,137.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $2,691.53 / $2,691.53	Facility		$1,122.02	$2,691.53	$2,691.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $2,691.53 / $2,691.53	Professional		$1,122.02	$2,691.53	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,348.96 / $1,905.46	Professional		$1,096.48	$1,348.96	$1,905.46
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $3,467.37 / $6,918.31	Facility		$1,548.82	$3,467.37	$6,918.31
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,380.38 / $1,819.70	Professional		$1,174.90	$1,380.38	$1,819.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,348.96 / $1,905.46	Professional		$1,122.02	$1,348.96	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $7,585.78 / $13,489.63	Facility		$4,265.80	$7,585.78	$13,489.63
United Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,380.38 / $1,949.84	Professional		$1,122.02	$1,380.38	$1,949.84