Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $4,897.79 / $4,897.79	Facility		$1,584.89	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,348.96 / $2,290.87	Professional		$1,122.02	$1,348.96	$2,290.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $2,754.23	Facility		$1,148.15	$1,148.15	$2,754.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $2,754.23 / $2,754.23	Professional		$1,148.15	$2,754.23	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,348.96 / $1,995.26	Professional		$1,096.48	$1,348.96	$1,995.26
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,801.89 / $4,897.79	Facility		$1,584.89	$3,801.89	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,479.11 / $1,949.84	Professional		$1,202.26	$1,479.11	$1,949.84
Priority Health 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
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 / $2,041.74	Professional		$1,230.27	$1,513.56	$2,041.74