Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $407.38	Facility		$223.87	$223.87	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $199.53 / $295.12	Professional		$154.88	$199.53	$295.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $165.96 / $165.96	Professional		$154.88	$165.96	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $107.15 / $912.01	Professional		$28.18	$107.15	$912.01
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $223.87 / $407.38	Facility		$199.53	$223.87	$407.38
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $186.21 / $281.84	Professional		$70.79	$186.21	$281.84
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $36.31 / $323.59	Professional		$28.18	$36.31	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $234.42 / $281.84	Facility		$208.93	$234.42	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $141.25 / $234.42	Professional		$97.72	$141.25	$234.42