Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $4,897.79 / $4,897.79	Facility		$1,698.24	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,513.56 / $2,290.87	Professional		$1,230.27	$1,513.56	$2,290.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,995.26 / $1,995.26	Facility		$1,230.27	$1,995.26	$1,995.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,230.27 / $1,995.26	Professional		$398.11	$1,230.27	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,548.82 / $2,187.76	Professional		$1,174.90	$1,548.82	$2,187.76
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,981.07 / $4,897.79	Facility		$1,698.24	$3,981.07	$4,897.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,584.89 / $2,089.30	Professional		$1,288.25	$1,584.89	$2,089.30
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,548.82 / $2,187.76	Professional		$1,380.38	$1,548.82	$2,187.76
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 $1,380.38 / $1,698.24 / $2,238.72	Professional		$1,380.38	$1,698.24	$2,238.72