Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $645.65 / $794.33	Facility		$144.54	$645.65	$794.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $128.82 / $186.21	Professional		$107.15	$128.82	$186.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $288.40	Facility		$97.72	$97.72	$288.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $288.40 / $288.40	Professional		$181.97	$288.40	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $177.83 / $537.03	Professional		$97.72	$177.83	$537.03
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $288.40 / $645.65	Facility		$109.65	$288.40	$645.65
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $134.90 / $177.83	Professional		$109.65	$134.90	$177.83
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $177.83 / $537.03	Professional		$100.00	$177.83	$537.03
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 $91.20 / $131.83 / $208.93	Professional		$91.20	$131.83	$208.93