Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $151.36 / $213.80	Professional		$128.82	$151.36	$213.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $724.44 / $1,380.38	Facility		$302.00	$724.44	$1,380.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $223.87 / $234.42	Professional		$213.80	$223.87	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $165.96 / $630.96	Professional		$102.33	$165.96	$630.96
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $323.59 / $363.08	Facility		$131.83	$323.59	$363.08
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $154.88 / $199.53	Professional		$123.03	$154.88	$199.53
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $144.54 / $630.96	Professional		$97.72	$144.54	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $812.83 / $1,318.26	Facility		$524.81	$812.83	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $138.04 / $186.21	Professional		$109.65	$138.04	$186.21