Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $1,380.38	Facility		$758.58	$758.58	$1,380.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $676.08 / $954.99	Professional		$537.03	$676.08	$954.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $912.01 / $1,584.89	Facility		$602.56	$912.01	$1,584.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $602.56 / $602.56	Professional		$562.34	$602.56	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $1,202.26	Professional		$977.24	$977.24	$1,202.26
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $1,905.46	Facility		$758.58	$758.58	$1,905.46
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $794.33 / $1,071.52	Professional		$645.65	$794.33	$1,071.52
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Professional		$977.24	$977.24	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $954.99	Facility		$794.33	$794.33	$954.99
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $478.63 / $794.33	Professional		$331.13	$478.63	$794.33