Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $173.78 / $173.78	Facility		$109.65	$173.78	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $158.49 / $316.23	Professional		$114.82	$158.49	$316.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $245.47 / $426.58	Facility		$165.96	$245.47	$426.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $229.09 / $245.47	Professional		$151.36	$229.09	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $323.59 / $1,023.29	Facility		$239.88	$323.59	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $239.88 / $549.54	Professional		$131.83	$239.88	$549.54
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $416.87 / $2,570.40	Facility		$169.82	$416.87	$2,570.40
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $173.78 / $245.47	Professional		$131.83	$173.78	$245.47
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $323.59 / $1,023.29	Facility		$239.88	$323.59	$1,023.29
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $208.93 / $549.54	Professional		$123.03	$208.93	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $2,511.89 / $8,317.64	Facility		$138.04	$2,511.89	$8,317.64
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $194.98 / $501.19	Professional		$154.88	$194.98	$501.19