Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $524.81	Facility		$288.40	$288.40	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $257.04 / $363.08	Professional		$199.53	$257.04	$363.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $208.93 / $208.93	Professional		$199.53	$208.93	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $457.09	Professional		$363.08	$363.08	$457.09
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $724.44	Facility		$288.40	$288.40	$724.44
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $302.00 / $407.38	Professional		$245.47	$302.00	$407.38
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $302.00 / $363.08	Facility		$269.15	$302.00	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $181.97 / $302.00	Professional		$125.89	$181.97	$302.00