Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $4,897.79 / $4,897.79	Facility		$2,089.30	$4,897.79	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,659.59 / $2,754.23	Professional		$1,412.54	$1,659.59	$2,754.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $2,454.71	Facility		$1,513.56	$1,513.56	$2,454.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $3,630.78 / $3,630.78	Professional		$1,513.56	$3,630.78	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,995.26 / $2,818.38	Professional		$1,412.54	$1,995.26	$2,818.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $4,897.79 / $5,128.61	Facility		$2,089.30	$4,897.79	$5,128.61
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,905.46 / $2,630.27	Professional		$1,548.82	$1,905.46	$2,630.27
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,187.76 / $2,454.71	Professional		$1,584.89	$2,187.76	$2,454.71
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 $1,584.89 / $1,995.26 / $2,691.53	Professional		$1,584.89	$1,995.26	$2,691.53