Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $263.03 / $263.03	Facility		$257.04	$263.03	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $208.93 / $288.40	Professional		$144.54	$208.93	$288.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $371.54 / $645.65	Facility		$239.88	$371.54	$645.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $43.65 / $46.77	Professional		$41.69	$43.65	$46.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $165.96	Facility		$63.10	$63.10	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $109.65 / $245.47	Professional		$69.18	$109.65	$245.47
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $186.21 / $537.03	Facility		$74.13	$186.21	$537.03
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $117.49 / $263.03	Professional		$69.18	$117.49	$263.03
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $165.96	Facility		$63.10	$63.10	$165.96
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $89.13 / $186.21	Professional		$64.57	$89.13	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $223.87 / $630.96	Facility		$95.50	$223.87	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $251.19 / $398.11	Professional		$91.20	$251.19	$398.11