Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $1,000.00	Facility		$128.82	$128.82	$1,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $141.25 / $302.00	Professional		$107.15	$141.25	$302.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,412.54 / $2,630.27	Facility		$724.44	$1,412.54	$2,630.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $436.52 / $467.74	Professional		$416.87	$436.52	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $407.38 / $478.63	Professional		$389.05	$407.38	$478.63
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $1,023.29 / $1,202.26	Facility		$128.82	$1,023.29	$1,202.26
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $398.11 / $549.54	Professional		$128.82	$398.11	$549.54
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $478.63 / $478.63	Professional		$407.38	$478.63	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $2.51 / $223.87 / $389.05	Facility		$2.51	$223.87	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $257.04 / $389.05	Professional		$120.23	$257.04	$389.05