Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $309.03	Facility		$165.96	$165.96	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $147.91 / $218.78	Professional		$117.49	$147.91	$218.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $199.53 / $346.74	Facility		$131.83	$199.53	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $104.71 / $380.19	Professional		$79.43	$104.71	$380.19
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $416.87	Facility		$165.96	$165.96	$416.87
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $177.83 / $239.88	Professional		$141.25	$177.83	$239.88
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $85.11 / $245.47	Professional		$75.86	$85.11	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $173.78 / $208.93	Facility		$158.49	$173.78	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $104.71 / $173.78	Professional		$74.13	$104.71	$173.78