Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $288.40	Facility		$158.49	$158.49	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $141.25 / $208.93	Professional		$109.65	$141.25	$208.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $186.21 / $331.13	Facility		$123.03	$186.21	$331.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $123.03 / $123.03	Professional		$117.49	$123.03	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $190.55 / $239.88	Professional		$97.72	$190.55	$239.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $288.40	Facility		$158.49	$158.49	$288.40
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $177.83 / $245.47	Professional		$131.83	$177.83	$245.47
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $109.65 / $204.17	Professional		$87.10	$109.65	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $165.96 / $165.96	Facility		$83.18	$165.96	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $109.65 / $117.49	Professional		$69.18	$109.65	$117.49