Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $1,047.13	Facility		$575.44	$575.44	$1,047.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $489.78 / $575.44	Professional		$208.93	$489.78	$575.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $416.87 / $416.87	Professional		$398.11	$416.87	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $912.01	Professional		$724.44	$724.44	$912.01
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $1,047.13	Facility		$575.44	$575.44	$1,047.13
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $446.68 / $724.44	Professional		$288.40	$446.68	$724.44
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Professional		$724.44	$724.44	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $602.56 / $602.56	Facility		$363.08	$602.56	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $181.97 / $302.00	Professional		$125.89	$181.97	$302.00