Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.92 / $191.92 / $191.92	Facility		$191.92	$191.92	$191.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.91 / $191.92 / $211.11	Professional		$191.91	$191.92	$211.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.26 / $367.96 / $696.08	Facility		$204.26	$367.96	$696.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.93 / $168.35 / $168.35	Professional		$159.93	$168.35	$168.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $191.92 / $191.92 / $191.92	Facility		$191.92	$191.92	$191.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.55 / $188.55 / $191.92	Professional		$188.55	$188.55	$191.92
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $148.19 / $191.92 / $287.88	Facility		$148.19	$191.92	$287.88
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $148.19 / $177.84 / $199.67	Professional		$148.19	$177.84	$199.67
United Facility/Professional Professional Modifier Low / Median / High Price $168.35 / $202.02 / $208.13	Professional		$168.35	$202.02	$208.13