Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $6,918.31	Facility		$4,897.79	$4,897.79	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $912.01 / $1,288.25	Professional		$794.33	$912.01	$1,288.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $1,380.38 / $1,380.38	Facility		$275.42	$1,380.38	$1,380.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,380.38 / $1,412.54	Professional		$851.14	$1,380.38	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,000.00 / $1,513.56	Professional		$812.83	$1,000.00	$1,513.56
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $4,897.79 / $6,918.31	Facility		$1,096.48	$4,897.79	$6,918.31
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,071.52 / $1,412.54	Professional		$812.83	$1,071.52	$1,412.54
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,000.00 / $1,445.44	Professional		$912.01	$1,000.00	$1,445.44
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 $912.01 / $1,148.15 / $1,513.56	Professional		$912.01	$1,148.15	$1,513.56