Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $257.04	Facility		$141.25	$141.25	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $131.83 / $223.87	Professional		$109.65	$131.83	$223.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $165.96 / $295.12	Facility		$112.20	$165.96	$295.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $112.20 / $112.20	Professional		$104.71	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $169.82 / $213.80	Professional		$89.13	$169.82	$213.80
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $257.04	Facility		$141.25	$141.25	$257.04
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $177.83 / $263.03	Professional		$120.23	$177.83	$263.03
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $112.20 / $181.97	Professional		$81.28	$112.20	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $147.91 / $147.91	Facility		$74.13	$147.91	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $120.23 / $128.82	Professional		$61.66	$120.23	$128.82