Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $306.81 / $306.81 / $478.62	Facility		$306.81	$306.81	$478.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.83 / $306.81 / $306.81	Professional		$264.83	$306.81	$306.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $215.16 / $215.16 / $226.48	Facility		$215.16	$215.16	$226.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $215.16 / $226.48 / $305.75	Professional		$215.16	$226.48	$305.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.93 / $393.59 / $491.99	Professional		$209.93	$393.59	$491.99
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $306.81 / $306.81 / $563.76	Facility		$306.81	$306.81	$563.76
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $306.81 / $344.50 / $387.55	Professional		$306.81	$344.50	$387.55
United Facility/Professional Professional Modifier Low / Median / High Price $135.63 / $215.31 / $228.23	Professional		$135.63	$215.31	$228.23