Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Facility		$234.42	$234.42	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $208.93 / $309.03	Professional		$162.18	$208.93	$309.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $537.03 / $1,047.13	Facility		$208.93	$537.03	$1,047.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $316.23 / $331.13	Professional		$169.82	$316.23	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Facility		$323.59	$323.59	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $275.42 / $724.44	Professional		$162.18	$275.42	$724.44
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $407.38 / $478.63	Facility		$165.96	$407.38	$478.63
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $213.80 / $281.84	Professional		$165.96	$213.80	$281.84
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Facility		$323.59	$323.59	$323.59
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $275.42 / $851.14	Professional		$147.91	$275.42	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $257.04 / $416.87	Facility		$165.96	$257.04	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $208.93 / $323.59	Professional		$147.91	$208.93	$323.59