Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $125.89 / $467.74	Facility		$95.50	$125.89	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $104.71 / $177.83	Professional		$77.62	$104.71	$177.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $177.83 / $309.03	Facility		$120.23	$177.83	$309.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $154.88 / $295.12	Professional		$138.04	$154.88	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $199.53 / $208.93	Facility		$151.36	$199.53	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $131.83 / $275.42	Professional		$83.18	$131.83	$275.42
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $199.53 / $467.74	Facility		$125.89	$199.53	$467.74
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $104.71 / $151.36	Professional		$81.28	$104.71	$151.36
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $199.53 / $208.93	Facility		$151.36	$199.53	$208.93
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $102.33 / $229.09	Professional		$75.86	$102.33	$229.09
United Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $288.40 / $912.01	Facility		$79.43	$288.40	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $109.65 / $173.78	Professional		$91.20	$109.65	$173.78