Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $4,897.79 / $4,897.79	Facility		$1,819.70	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,698.24 / $2,041.74	Professional		$1,318.26	$1,698.24	$2,041.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,905.46 / $1,995.26	Professional		$1,174.90	$1,905.46	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,187.76 / $2,511.89	Professional		$1,202.26	$2,187.76	$2,511.89
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $4,897.79 / $5,128.61	Facility		$1,862.09	$4,897.79	$5,128.61
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,778.28 / $2,454.71	Professional		$1,380.38	$1,778.28	$2,454.71
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,089.30 / $2,951.21	Professional		$1,202.26	$2,089.30	$2,951.21
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 $1,584.89 / $2,238.72 / $3,019.95	Professional		$1,584.89	$2,238.72	$3,019.95