Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $641.46 / $684.00 / $1,067.04	Facility		$641.46	$684.00	$1,067.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.60 / $615.60 / $1,197.00	Professional		$292.60	$615.60	$1,197.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $504.90 / $504.90 / $504.90	Facility		$504.90	$504.90	$504.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $479.66 / $504.90 / $561.60	Professional		$479.66	$504.90	$561.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $421.20 / $877.63 / $1,620.00	Professional		$421.20	$877.63	$1,620.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $684.00 / $684.00 / $1,256.84	Facility		$684.00	$684.00	$1,256.84
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $691.20 / $691.20 / $933.12	Professional		$691.20	$691.20	$933.12
United Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $432.00 / $720.00	Professional		$302.39	$432.00	$720.00