Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $218.78	Facility		$120.23	$120.23	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $117.49 / $194.98	Professional		$93.33	$117.49	$194.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $141.25 / $251.19	Facility		$93.33	$141.25	$251.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $93.33 / $93.33	Professional		$89.13	$93.33	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $144.54 / $181.97	Professional		$66.07	$144.54	$181.97
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $218.78	Facility		$120.23	$120.23	$218.78
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $151.36 / $234.42	Professional		$102.33	$151.36	$234.42
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $95.50 / $151.36	Professional		$60.26	$95.50	$151.36
United Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $125.89 / $125.89	Facility		$63.10	$125.89	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $102.33 / $109.65	Professional		$52.48	$102.33	$109.65