Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $1,288.25	Facility		$707.95	$707.95	$1,288.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $602.56 / $891.25	Professional		$501.19	$602.56	$891.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $524.81 / $524.81	Professional		$489.78	$524.81	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $1,122.02	Professional		$912.01	$912.01	$1,122.02
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $1,778.28	Facility		$707.95	$707.95	$1,778.28
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $741.31 / $1,000.00	Professional		$602.56	$741.31	$1,000.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $891.25	Facility		$741.31	$741.31	$891.25
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $446.68 / $741.31	Professional		$309.03	$446.68	$741.31