Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $4,897.79 / $4,897.79	Facility		$1,412.54	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,174.90 / $2,041.74	Professional		$1,023.29	$1,174.90	$2,041.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,659.59 / $1,659.59	Facility		$1,023.29	$1,659.59	$1,659.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $1,659.59 / $2,454.71	Professional		$331.13	$1,659.59	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,258.93 / $1,819.70	Professional		$977.24	$1,258.93	$1,819.70
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,235.94 / $4,897.79	Facility		$1,412.54	$3,235.94	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,288.25 / $1,778.28	Professional		$1,071.52	$1,288.25	$1,778.28
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,258.93 / $1,778.28	Professional		$1,174.90	$1,258.93	$1,778.28
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 $1,148.15 / $1,412.54 / $1,862.09	Professional		$1,148.15	$1,412.54	$1,862.09