Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $302.00	Facility		$165.96	$165.96	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $147.91 / $208.93	Professional		$114.82	$147.91	$208.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $120.23 / $120.23	Professional		$114.82	$120.23	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $208.93 / $263.03	Professional		$199.53	$208.93	$263.03
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $416.87	Facility		$165.96	$165.96	$416.87
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $173.78 / $234.42	Professional		$141.25	$173.78	$234.42
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $208.93	Professional		$199.53	$199.53	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $173.78 / $173.78	Facility		$87.10	$173.78	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $104.71 / $109.65	Professional		$72.44	$104.71	$109.65