Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $851.14	Facility		$457.09	$457.09	$851.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $416.87 / $575.44	Professional		$323.59	$416.87	$575.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $338.84	Facility		$338.84	$338.84	$338.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $338.84 / $338.84	Professional		$323.59	$338.84	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $741.31	Professional		$588.84	$588.84	$741.31
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $1,174.90	Facility		$457.09	$457.09	$1,174.90
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $489.78 / $660.69	Professional		$398.11	$489.78	$660.69
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Professional		$588.84	$588.84	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $489.78 / $588.84	Facility		$436.52	$489.78	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $295.12 / $489.78	Professional		$204.17	$295.12	$489.78