Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $263.03	Facility		$141.25	$141.25	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $125.89 / $190.55	Professional		$100.00	$125.89	$190.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $173.78 / $295.12	Facility		$112.20	$173.78	$295.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $112.20 / $112.20	Professional		$107.15	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $181.97 / $588.84	Professional		$33.11	$181.97	$588.84
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $354.81	Facility		$141.25	$141.25	$354.81
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $147.91 / $204.17	Professional		$117.49	$147.91	$204.17
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $69.18 / $208.93	Professional		$33.11	$69.18	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $151.36 / $181.97	Facility		$134.90	$151.36	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $89.13 / $151.36	Professional		$63.10	$89.13	$151.36