Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $4,897.79 / $4,897.79	Facility		$1,548.82	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,318.26 / $2,187.76	Professional		$1,148.15	$1,318.26	$2,187.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $2,754.23 / $2,754.23	Facility		$371.54	$2,754.23	$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 / $1,445.44 / $2,041.74	Professional		$1,096.48	$1,445.44	$2,041.74
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $3,630.78 / $4,897.79	Facility		$1,548.82	$3,630.78	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,445.44 / $1,949.84	Professional		$1,202.26	$1,445.44	$1,949.84
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,445.44 / $1,995.26	Professional		$1,288.25	$1,445.44	$1,995.26
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 $1,258.93 / $1,584.89 / $2,089.30	Professional		$1,258.93	$1,584.89	$2,089.30