Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $446.68	Facility		$239.88	$239.88	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $213.80 / $309.03	Professional		$169.82	$213.80	$309.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $295.12 / $512.86	Facility		$190.55	$295.12	$512.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $190.55 / $190.55	Professional		$181.97	$190.55	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $309.03 / $1,000.00	Professional		$117.49	$309.03	$1,000.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $239.88 / $446.68	Facility		$56.23	$239.88	$446.68
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $204.17 / $309.03	Professional		$19.50	$204.17	$309.03
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $147.91 / $354.81	Professional		$117.49	$147.91	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $257.04 / $257.04	Facility		$229.09	$257.04	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $117.49 / $199.53	Professional		$87.10	$117.49	$199.53