Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $489.78	Facility		$263.03	$263.03	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $239.88 / $338.84	Professional		$186.21	$239.88	$338.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $10.96 / $208.93	Facility		$10.96	$10.96	$208.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $208.93 / $208.93	Professional		$199.53	$208.93	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $389.05 / $1,096.48	Professional		$128.82	$389.05	$1,096.48
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $616.60	Facility		$263.03	$263.03	$616.60
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $263.03 / $380.19	Professional		$223.87	$263.03	$380.19
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $338.84 / $426.58	Professional		$128.82	$338.84	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $281.84 / $338.84	Facility		$251.19	$281.84	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $169.82 / $281.84	Professional		$117.49	$169.82	$281.84