Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $309.03	Facility		$169.82	$169.82	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $151.36 / $213.80	Professional		$117.49	$151.36	$213.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $125.89 / $125.89	Professional		$117.49	$125.89	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $204.17 / $257.04	Professional		$85.11	$204.17	$257.04
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $309.03	Facility		$169.82	$169.82	$309.03
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $169.82 / $234.42	Professional		$144.54	$169.82	$234.42
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $97.72 / $218.78	Professional		$77.62	$97.72	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $177.83 / $177.83	Facility		$89.13	$177.83	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $107.15 / $114.82	Professional		$74.13	$107.15	$114.82