Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $426.58 / $426.58	Facility		$138.04	$426.58	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $162.18 / $234.42	Professional		$123.03	$162.18	$234.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $275.42 / $467.74	Facility		$181.97	$275.42	$467.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $389.05 / $389.05	Professional		$194.98	$389.05	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $251.19 / $426.58	Professional		$120.23	$251.19	$426.58
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $426.58 / $436.52	Facility		$162.18	$426.58	$436.52
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $162.18 / $239.88	Professional		$128.82	$162.18	$239.88
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $186.21 / $426.58	Professional		$117.49	$186.21	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $380.19 / $1,122.02	Facility		$147.91	$380.19	$1,122.02
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $190.55 / $251.19	Professional		$134.90	$190.55	$251.19