Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $4,897.79 / $4,897.79	Facility		$1,513.56	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,258.93 / $2,238.72	Professional		$1,096.48	$1,258.93	$2,238.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Facility		$1,778.28	$1,778.28	$1,778.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,778.28 / $2,630.27	Professional		$1,096.48	$1,778.28	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,380.38 / $1,949.84	Professional		$1,047.13	$1,380.38	$1,949.84
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,630.78 / $4,897.79	Facility		$1,513.56	$3,630.78	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,412.54 / $1,905.46	Professional		$1,148.15	$1,412.54	$1,905.46
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,380.38 / $1,949.84	Professional		$1,230.27	$1,380.38	$1,949.84
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 $1,230.27 / $1,513.56 / $2,089.30	Professional		$1,230.27	$1,513.56	$2,089.30