Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $263.03 / $446.68	Facility		$144.54	$263.03	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $134.90 / $190.55	Professional		$100.00	$134.90	$190.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $177.83 / $309.03	Facility		$114.82	$177.83	$309.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $107.15 / $114.82	Professional		$102.33	$107.15	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $147.91 / $389.05	Professional		$120.23	$147.91	$389.05
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $338.84 / $446.68	Facility		$151.36	$338.84	$446.68
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $141.25 / $199.53	Professional		$87.10	$141.25	$199.53
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $125.89 / $165.96	Professional		$109.65	$125.89	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $104.71 / $288.40	Facility		$85.11	$104.71	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $151.36 / $229.09	Professional		$114.82	$151.36	$229.09