Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $363.08	Facility		$194.98	$194.98	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $177.83 / $257.04	Professional		$138.04	$177.83	$257.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $234.42 / $407.38	Facility		$154.88	$234.42	$407.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $154.88 / $154.88	Professional		$147.91	$154.88	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $128.82 / $446.68	Professional		$97.72	$128.82	$446.68
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $501.19	Facility		$194.98	$194.98	$501.19
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $208.93 / $281.84	Professional		$165.96	$208.93	$281.84
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $102.33 / $288.40	Professional		$93.33	$102.33	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $208.93 / $251.19	Facility		$186.21	$208.93	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $123.03 / $208.93	Professional		$87.10	$123.03	$208.93