Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $263.03	Facility		$141.25	$141.25	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $128.82 / $177.83	Professional		$114.82	$128.82	$177.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $138.04 / $138.04	Professional		$131.83	$138.04	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $181.97 / $229.09	Professional		$97.72	$181.97	$229.09
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $398.11	Facility		$141.25	$141.25	$398.11
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $177.83 / $245.47	Professional		$128.82	$177.83	$245.47
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $181.97	Professional		$97.72	$97.72	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $199.53 / $199.53	Facility		$147.91	$199.53	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $100.00 / $165.96	Professional		$63.10	$100.00	$165.96