Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $501.19	Facility		$162.18	$162.18	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $144.54 / $190.55	Professional		$123.03	$144.54	$190.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $173.78 / $316.23	Facility		$83.18	$173.78	$316.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $204.17 / $213.80	Professional		$194.98	$204.17	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $181.97 / $371.54	Professional		$134.90	$181.97	$371.54
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $398.11 / $501.19	Facility		$158.49	$398.11	$501.19
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $158.49 / $208.93	Professional		$123.03	$158.49	$208.93
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $165.96 / $316.23	Professional		$128.82	$165.96	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $371.54 / $691.83	Facility		$134.90	$371.54	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $169.82 / $245.47	Professional		$128.82	$169.82	$245.47