Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $239.88	Facility		$128.82	$128.82	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $114.82 / $169.82	Professional		$91.20	$114.82	$169.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $154.88 / $269.15	Facility		$102.33	$154.88	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $74.13 / $295.12	Professional		$60.26	$74.13	$295.12
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $331.13	Facility		$128.82	$128.82	$331.13
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $138.04 / $186.21	Professional		$109.65	$138.04	$186.21
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $63.10 / $190.55	Professional		$54.95	$63.10	$190.55
United Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $138.04 / $165.96	Facility		$123.03	$138.04	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $81.28 / $138.04	Professional		$57.54	$81.28	$138.04