Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $138.04 / $251.19	Facility		$131.83	$138.04	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $125.89 / $363.08	Professional		$104.71	$125.89	$363.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $162.18 / $288.40	Facility		$109.65	$162.18	$288.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Facility		$346.74	$346.74	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $154.88 / $575.44	Professional		$77.62	$154.88	$575.44
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $138.04 / $331.13	Facility		$131.83	$138.04	$331.13
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $165.96 / $257.04	Professional		$114.82	$165.96	$257.04
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Facility		$346.74	$346.74	$346.74
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $95.50 / $199.53	Professional		$66.07	$95.50	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $144.54 / $173.78	Facility		$128.82	$144.54	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $169.82 / $213.80	Professional		$87.10	$169.82	$213.80