Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $323.59	Facility		$177.83	$177.83	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $158.49 / $302.00	Professional		$128.82	$158.49	$302.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $275.42 / $489.78	Facility		$186.21	$275.42	$489.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $186.21 / $186.21	Professional		$177.83	$186.21	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $181.97 / $724.44	Professional		$74.13	$181.97	$724.44
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $4,168.69	Facility		$177.83	$177.83	$4,168.69
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $251.19 / $2,238.72	Professional		$151.36	$251.19	$2,238.72
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $85.11 / $724.44	Professional		$74.13	$85.11	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $186.21 / $223.87	Facility		$165.96	$186.21	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $112.20 / $186.21	Professional		$77.62	$112.20	$186.21