Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $302.00	Facility		$165.96	$165.96	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $151.36 / $269.15	Professional		$128.82	$151.36	$269.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $194.98 / $346.74	Facility		$128.82	$194.98	$346.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $128.82 / $128.82	Professional		$123.03	$128.82	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $173.78 / $371.54	Professional		$109.65	$173.78	$371.54
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $302.00	Facility		$165.96	$165.96	$302.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $165.96 / $234.42	Professional		$138.04	$165.96	$234.42
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $131.83 / $239.88	Professional		$87.10	$131.83	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $173.78 / $208.93	Facility		$154.88	$173.78	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $154.88 / $239.88	Professional		$95.50	$154.88	$239.88