Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $4,897.79 / $4,897.79	Facility		$2,089.30	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,862.09 / $2,818.38	Professional		$1,513.56	$1,862.09	$2,818.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,445.44 / $1,445.44	Facility		$457.09	$1,445.44	$1,445.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $2,187.76 / $2,290.87	Professional		$457.09	$2,187.76	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,137.96 / $2,511.89	Professional		$1,380.38	$2,137.96	$2,511.89
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $4,897.79 / $5,128.61	Facility		$2,089.30	$4,897.79	$5,128.61
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,949.84 / $2,691.53	Professional		$1,513.56	$1,949.84	$2,691.53
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,949.84 / $2,691.53	Professional		$1,380.38	$1,949.84	$2,691.53
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 $1,778.28 / $2,137.96 / $2,754.23	Professional		$1,778.28	$2,137.96	$2,754.23