Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $398.11	Facility		$162.18	$162.18	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $239.88	Professional		$162.18	$162.18	$239.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $389.05 / $794.33	Facility		$190.55	$389.05	$794.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $181.97 / $181.97	Professional		$173.78	$181.97	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $245.47 / $478.63	Facility		$162.18	$245.47	$478.63
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $223.87	Professional		$162.18	$162.18	$223.87
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $194.98 / $257.04	Facility		$162.18	$194.98	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $194.98 / $218.78	Professional		$162.18	$194.98	$218.78