Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $776.25	Facility		$416.87	$416.87	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $371.54 / $524.81	Professional		$295.12	$371.54	$524.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $660.69 / $1,174.90	Facility		$436.52	$660.69	$1,174.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $436.52 / $436.52	Professional		$416.87	$436.52	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $436.52 / $954.99	Professional		$81.28	$436.52	$954.99
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $1,445.44	Facility		$416.87	$416.87	$1,445.44
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $524.81 / $776.25	Professional		$354.81	$524.81	$776.25
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $199.53 / $616.60	Professional		$81.28	$199.53	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $436.52 / $436.52	Facility		$263.03	$436.52	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $107.15 / $263.03	Professional		$74.13	$107.15	$263.03