Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $275.42	Facility		$158.49	$158.49	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $616.60	Professional		$223.87	$223.87	$616.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $10.96 / $288.40	Facility		$10.96	$10.96	$288.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $288.40 / $288.40	Professional		$275.42	$288.40	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $131.83	Professional		$104.71	$104.71	$131.83
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $275.42 / $281.84	Facility		$223.87	$275.42	$281.84
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $616.60	Professional		$223.87	$223.87	$616.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
United Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $281.84 / $549.54	Facility		$147.91	$281.84	$549.54