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 $114.82 / $331.13 / $389.05	Professional		$114.82	$331.13	$389.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $457.09 / $812.83	Facility		$309.03	$457.09	$812.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $309.03 / $309.03	Professional		$288.40	$309.03	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $501.19 / $616.60	Professional		$97.72	$501.19	$616.60
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $389.05 / $707.95	Facility		$371.54	$389.05	$707.95
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $245.47 / $489.78	Professional		$158.49	$245.47	$489.78
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $501.19	Professional		$97.72	$97.72	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $407.38 / $407.38	Facility		$245.47	$407.38	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $100.00 / $165.96	Professional		$69.18	$100.00	$165.96