Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $707.95	Facility		$389.05	$389.05	$707.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $338.84 / $489.78	Professional		$275.42	$338.84	$489.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $309.03 / $346.74	Facility		$10.96	$309.03	$346.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $309.03 / $309.03	Professional		$295.12	$309.03	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $501.19 / $630.96	Professional		$269.15	$501.19	$630.96
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $1,096.48	Facility		$389.05	$389.05	$1,096.48
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $436.52 / $588.84	Professional		$331.13	$436.52	$588.84
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $501.19	Professional		$269.15	$269.15	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $407.38 / $489.78	Facility		$371.54	$407.38	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $275.42 / $457.09	Professional		$173.78	$275.42	$457.09