Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $123.03 / $123.03	Facility		$46.77	$123.03	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $100.00 / $128.82	Professional		$77.62	$100.00	$128.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $346.74 / $588.84	Facility		$234.42	$346.74	$588.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $134.90 / $275.42	Professional		$87.10	$134.90	$275.42
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $295.12 / $537.03	Facility		$120.23	$295.12	$537.03
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $138.04 / $371.54	Professional		$100.00	$138.04	$371.54
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $134.90 / $288.40	Professional		$75.86	$134.90	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $239.88 / $616.60	Facility		$173.78	$239.88	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $263.03 / $346.74	Professional		$114.82	$263.03	$346.74