Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $245.47 / $616.60	Facility		$123.03	$245.47	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $251.19 / $263.03	Professional		$245.47	$251.19	$263.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $60.26 / $102.33	Facility		$38.90	$60.26	$102.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $38.90 / $38.90	Professional		$37.15	$38.90	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $309.03 / $912.01	Facility		$190.55	$309.03	$912.01
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $331.13 / $457.09	Professional		$245.47	$331.13	$457.09
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $309.03 / $446.68	Facility		$257.04	$309.03	$446.68
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $263.03 / $281.84	Professional		$257.04	$263.03	$281.84