Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $4,897.79 / $4,897.79	Facility		$1,621.81	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,445.44 / $2,187.76	Professional		$1,174.90	$1,445.44	$2,187.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $2,691.53	Facility		$1,778.28	$1,778.28	$2,691.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $2,691.53 / $2,691.53	Professional		$1,122.02	$2,691.53	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,737.80 / $1,949.84	Professional		$1,071.52	$1,737.80	$1,949.84
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $4,168.69 / $4,897.79	Facility		$1,621.81	$4,168.69	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,513.56 / $2,187.76	Professional		$1,174.90	$1,513.56	$2,187.76
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,513.56 / $2,187.76	Professional		$1,071.52	$1,513.56	$2,187.76
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 $1,380.38 / $1,737.80 / $2,238.72	Professional		$1,380.38	$1,737.80	$2,238.72