Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $1,318.26	Facility		$724.44	$724.44	$1,318.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $645.65 / $912.01	Professional		$501.19	$645.65	$912.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $870.96 / $1,513.56	Facility		$575.44	$870.96	$1,513.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $575.44 / $575.44	Professional		$537.03	$575.44	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $363.08 / $1,659.59	Professional		$275.42	$363.08	$1,659.59
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $1,412.54	Facility		$724.44	$724.44	$1,412.54
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $724.44 / $912.01	Professional		$562.34	$724.44	$912.01
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $295.12 / $1,047.13	Professional		$263.03	$295.12	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $758.58 / $758.58	Facility		$691.83	$758.58	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $363.08 / $602.56	Professional		$251.19	$363.08	$602.56