Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.20 / $180.20 / $180.20	Facility		$180.20	$180.20	$180.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.20 / $180.20 / $198.21	Professional		$180.20	$180.20	$198.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $220.78 / $397.73 / $752.39	Facility		$220.78	$397.73	$752.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.87 / $172.87 / $181.97	Professional		$172.87	$172.87	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.06 / $203.81 / $203.81	Professional		$179.06	$203.81	$203.81
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $180.20 / $192.89 / $218.36	Facility		$180.20	$192.89	$218.36
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $180.20 / $192.89 / $231.46	Professional		$180.20	$192.89	$231.46
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $218.36 / $224.97	Professional		$181.97	$218.36	$224.97