Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $562.34 / $812.83	Professional		$478.63	$562.34	$812.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $10.96 / $512.86	Facility		$10.96	$10.96	$512.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $512.86 / $512.86	Professional		$489.78	$512.86	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $1,047.13	Professional		$831.76	$831.76	$1,047.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,737.80 / $1,905.46	Facility		$645.65	$1,737.80	$1,905.46
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $707.95 / $933.25	Professional		$549.54	$707.95	$933.25
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Professional		$831.76	$831.76	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $676.08 / $812.83	Facility		$616.60	$676.08	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $407.38 / $676.08	Professional		$288.40	$407.38	$676.08