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 / $4,897.79	Facility		$1,548.82	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,380.38 / $2,290.87	Professional		$1,122.02	$1,380.38	$2,290.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $1,122.02 / $1,778.28	Facility		$309.03	$1,122.02	$1,778.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,778.28 / $1,778.28	Professional		$1,071.52	$1,778.28	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,513.56 / $1,862.09	Professional		$1,096.48	$1,513.56	$1,862.09
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $3,630.78 / $4,897.79	Facility		$1,548.82	$3,630.78	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,412.54 / $2,754.23	Professional		$1,148.15	$1,412.54	$2,754.23
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,412.54 / $1,862.09	Professional		$1,318.26	$1,412.54	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,890.45 / $6,025.60	Facility		$1,698.24	$3,890.45	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,445.44 / $2,041.74	Professional		$1,174.90	$1,445.44	$2,041.74