Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $4,897.79 / $4,897.79	Facility		$2,398.83	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,949.84 / $2,454.71	Professional		$1,479.11	$1,949.84	$2,454.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $371.54	Facility		$74.13	$74.13	$371.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $354.81 / $371.54	Professional		$74.13	$354.81	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,511.89 / $2,691.53	Professional		$1,202.26	$2,511.89	$2,691.53
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $4,897.79 / $5,754.40	Facility		$2,398.83	$4,897.79	$5,754.40
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,187.76 / $2,818.38	Professional		$1,659.59	$2,187.76	$2,818.38
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,621.81 / $2,511.89	Professional		$1,584.89	$1,621.81	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,890.45 / $6,025.60	Facility		$1,819.70	$3,890.45	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,621.81 / $2,511.89	Professional		$1,348.96	$1,621.81	$2,511.89