Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $288.40	Facility		$154.88	$154.88	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $141.25 / $194.98	Professional		$109.65	$141.25	$194.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $114.82 / $114.82	Professional		$109.65	$114.82	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $199.53 / $251.19	Professional		$107.15	$199.53	$251.19
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $478.63	Facility		$154.88	$154.88	$478.63
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $190.55 / $257.04	Professional		$134.90	$190.55	$257.04
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $199.53	Professional		$107.15	$107.15	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $162.18 / $194.98	Facility		$147.91	$162.18	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $120.23 / $204.17	Professional		$69.18	$120.23	$204.17