Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $722.00 / $722.00 / $1,126.32	Facility		$722.00	$722.00	$1,126.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $623.20 / $722.00 / $722.00	Professional		$623.20	$722.00	$722.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $532.95 / $532.95 / $532.95	Facility		$532.95	$532.95	$532.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $362.41 / $532.95 / $532.95	Professional		$362.41	$532.95	$532.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $760.00 / $926.36 / $1,157.95	Professional		$760.00	$926.36	$1,157.95
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $722.00 / $722.00 / $1,326.67	Facility		$722.00	$722.00	$1,326.67
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $722.00 / $729.60 / $912.00	Professional		$722.00	$729.60	$912.00
United Facility/Professional Facility Modifier Low / Median / High Price $319.20 / $684.00 / $912.00	Facility		$319.20	$684.00	$912.00
United Facility/Professional Professional Modifier Low / Median / High Price $319.20 / $456.00 / $486.40	Professional		$319.20	$456.00	$486.40