Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,897.79	Facility		$4,073.80	$4,073.80	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,174.90 / $2,137.96	Professional		$977.24	$1,174.90	$2,137.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $1,621.81 / $1,621.81	Facility		$323.59	$1,621.81	$1,621.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $1,548.82 / $1,621.81	Professional		$323.59	$1,548.82	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,380.38 / $5,011.87	Professional		$977.24	$1,380.38	$5,011.87
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,073.80 / $5,754.40	Facility		$1,380.38	$4,073.80	$5,754.40
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,230.27 / $1,698.24	Professional		$1,047.13	$1,230.27	$1,698.24
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,122.02 / $4,265.80	Professional		$977.24	$1,122.02	$4,265.80
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $7,585.78 / $13,489.63	Facility		$4,265.80	$7,585.78	$13,489.63
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,318.26 / $1,778.28	Professional		$1,023.29	$1,318.26	$1,778.28