Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $758.58	Facility		$416.87	$416.87	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $501.19	Professional		$416.87	$416.87	$501.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $295.12 / $295.12	Professional		$275.42	$295.12	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $524.81	Professional		$416.87	$416.87	$524.81
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $1,000.00	Facility		$416.87	$416.87	$1,000.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $416.87 / $562.34	Professional		$398.11	$416.87	$562.34
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $416.87 / $501.19	Facility		$371.54	$416.87	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $229.09 / $416.87	Professional		$173.78	$229.09	$416.87