Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $295.12	Facility		$288.40	$288.40	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $263.03 / $891.25	Professional		$190.55	$263.03	$891.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $204.17 / $331.13	Facility		$56.23	$204.17	$331.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $331.13	Professional		$204.17	$204.17	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $269.15 / $371.54	Professional		$190.55	$269.15	$371.54
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $630.96 / $707.95	Facility		$257.04	$630.96	$707.95
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $281.84 / $660.69	Professional		$208.93	$281.84	$660.69
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $281.84 / $323.59	Professional		$208.93	$281.84	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $3,235.94 / $6,025.60	Facility		$1,047.13	$3,235.94	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $275.42 / $380.19	Professional		$229.09	$275.42	$380.19