Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $5,754.40	Facility		$4,897.79	$4,897.79	$5,754.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,584.89 / $2,570.40	Professional		$1,318.26	$1,584.89	$2,570.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,238.72 / $2,238.72	Facility		$1,380.38	$2,238.72	$2,238.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $2,238.72 / $2,344.23	Professional		$537.03	$2,238.72	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,949.84 / $3,981.07	Professional		$1,348.96	$1,949.84	$3,981.07
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $4,897.79 / $5,754.40	Facility		$1,548.82	$4,897.79	$5,754.40
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,659.59 / $2,187.76	Professional		$1,380.38	$1,659.59	$2,187.76
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,737.80 / $3,311.31	Professional		$1,230.27	$1,737.80	$3,311.31
United Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $3,548.13 / $6,025.60	Facility		$691.83	$3,548.13	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,819.70 / $2,511.89	Professional		$1,380.38	$1,819.70	$2,511.89