Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $4,897.79 / $4,897.79	Facility		$575.44	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $489.78 / $794.33	Professional		$416.87	$489.78	$794.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $691.83	Facility		$138.04	$138.04	$691.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $691.83 / $691.83	Professional		$138.04	$691.83	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $588.84 / $1,202.26	Professional		$436.52	$588.84	$1,202.26
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,288.25 / $4,897.79	Facility		$478.63	$1,288.25	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $501.19 / $676.08	Professional		$416.87	$501.19	$676.08
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $512.86 / $1,000.00	Professional		$371.54	$512.86	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $3,548.13 / $6,025.60	Facility		$467.74	$3,548.13	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $562.34 / $776.25	Professional		$416.87	$562.34	$776.25