Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $302.00	Facility		$165.96	$165.96	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $147.91 / $208.93	Professional		$117.49	$147.91	$208.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $123.03 / $123.03	Professional		$117.49	$123.03	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $269.15	Professional		$213.80	$213.80	$269.15
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $416.87	Facility		$165.96	$165.96	$416.87
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $177.83 / $234.42	Professional		$141.25	$177.83	$234.42
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Professional		$213.80	$213.80	$213.80
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $173.78 / $208.93	Facility		$158.49	$173.78	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $104.71 / $173.78	Professional		$74.13	$104.71	$173.78