Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.33 / $157.33 / $245.44	Facility		$157.33	$157.33	$245.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.80 / $157.33 / $157.33	Professional		$135.80	$157.33	$157.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $129.47 / $185.64 / $329.02	Facility		$129.47	$185.64	$329.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.46 / $124.21 / $167.68	Professional		$84.46	$124.21	$167.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.36 / $190.39 / $237.99	Professional		$99.36	$190.39	$237.99
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $149.46 / $157.33 / $289.08	Facility		$149.46	$157.33	$289.08
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $157.33 / $178.73 / $207.01	Professional		$157.33	$178.73	$207.01
United Facility/Professional Professional Modifier Low / Median / High Price $69.56 / $105.99 / $116.48	Professional		$69.56	$105.99	$116.48