Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $478.63	Facility		$263.03	$263.03	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $245.47 / $269.15	Professional		$208.93	$245.47	$269.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $194.98 / $194.98	Professional		$181.97	$194.98	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $416.87	Professional		$338.84	$338.84	$416.87
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $660.69	Facility		$263.03	$263.03	$660.69
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $275.42 / $371.54	Professional		$234.42	$275.42	$371.54
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Professional		$338.84	$338.84	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $275.42 / $331.13	Facility		$245.47	$275.42	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $165.96 / $275.42	Professional		$114.82	$165.96	$275.42