Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $1,202.26	Facility		$660.69	$660.69	$1,202.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $562.34 / $812.83	Professional		$457.09	$562.34	$812.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $478.63 / $478.63	Professional		$457.09	$478.63	$478.63
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 $660.69 / $660.69 / $1,659.59	Facility		$660.69	$660.69	$1,659.59
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $691.83 / $933.25	Professional		$562.34	$691.83	$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 / $691.83 / $831.76	Facility		$616.60	$691.83	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $416.87 / $691.83	Professional		$288.40	$416.87	$691.83