Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $4,897.79 / $4,897.79	Facility		$776.25	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $676.08 / $977.24	Professional		$562.34	$676.08	$977.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $851.14 / $851.14	Facility		$524.81	$851.14	$851.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $812.83 / $851.14	Professional		$169.82	$812.83	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $812.83 / $933.25	Professional		$512.86	$812.83	$933.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,778.28 / $4,897.79	Facility		$776.25	$1,778.28	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $676.08 / $851.14	Professional		$562.34	$676.08	$851.14
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $776.25 / $1,023.29	Professional		$512.86	$776.25	$1,023.29
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 $660.69 / $812.83 / $1,096.48	Professional		$660.69	$812.83	$1,096.48