Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $4,897.79 / $4,897.79	Facility		$1,698.24	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,513.56 / $2,454.71	Professional		$1,230.27	$1,513.56	$2,454.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility		$1,230.27	$1,230.27	$1,230.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,995.26 / $2,951.21	Professional		$1,230.27	$1,995.26	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,819.70 / $2,238.72	Professional		$1,202.26	$1,819.70	$2,238.72
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $4,265.80 / $4,897.79	Facility		$1,698.24	$4,265.80	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,621.81 / $3,019.95	Professional		$1,258.93	$1,621.81	$3,019.95
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,778.28 / $2,238.72	Professional		$1,318.26	$1,778.28	$2,238.72
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 $1,380.38 / $1,659.59 / $2,290.87	Professional		$1,380.38	$1,659.59	$2,290.87