Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $69.18 / $269.15	Facility		$54.95	$69.18	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $109.65 / $181.97	Professional		$39.81	$109.65	$181.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $426.58 / $870.96	Facility		$204.17	$426.58	$870.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $66.07 / $204.17	Professional		$61.66	$66.07	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $120.23 / $251.19	Professional		$43.65	$120.23	$251.19
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $162.18 / $346.74	Facility		$69.18	$162.18	$346.74
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $125.89 / $173.78	Professional		$40.74	$125.89	$173.78
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $102.33 / $234.42	Professional		$39.81	$102.33	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $575.44 / $1,071.52	Facility		$186.21	$575.44	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $107.15 / $194.98	Professional		$41.69	$107.15	$194.98