Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $4,897.79 / $4,897.79	Facility		$1,584.89	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,445.44 / $2,344.23	Professional		$1,174.90	$1,445.44	$2,344.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,778.28 / $1,778.28	Facility		$1,122.02	$1,778.28	$1,778.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $1,778.28 / $1,778.28	Professional		$354.81	$1,778.28	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,698.24 / $1,949.84	Professional		$1,071.52	$1,698.24	$1,949.84
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,801.89 / $4,897.79	Facility		$1,584.89	$3,801.89	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,513.56 / $2,454.71	Professional		$1,202.26	$1,513.56	$2,454.71
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,621.81 / $1,949.84	Professional		$1,071.52	$1,621.81	$1,949.84
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 $1,348.96 / $1,621.81 / $2,137.96	Professional		$1,348.96	$1,621.81	$2,137.96