Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $151.36 / $151.36	Facility		$58.88	$151.36	$151.36
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 $87.10 / $131.83 / $223.87	Facility		$87.10	$131.83	$223.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $194.98 / $194.98	Professional		$117.49	$194.98	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $380.19 / $389.05	Facility		$281.84	$380.19	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $147.91 / $323.59	Professional		$107.15	$147.91	$323.59
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $338.84 / $537.03	Facility		$138.04	$338.84	$537.03
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $151.36 / $204.17	Professional		$123.03	$151.36	$204.17
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $380.19 / $389.05	Facility		$281.84	$380.19	$389.05
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $147.91 / $331.13	Professional		$95.50	$147.91	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $239.88 / $660.69	Facility		$173.78	$239.88	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $173.78 / $229.09	Professional		$134.90	$173.78	$229.09