Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $812.83 / $912.01	Facility		$295.12	$812.83	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $302.00 / $309.03	Professional		$295.12	$302.00	$309.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $275.42 / $478.63	Facility		$177.83	$275.42	$478.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $177.83 / $177.83	Professional		$169.82	$177.83	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $812.83 / $912.01	Facility		$331.13	$812.83	$912.01
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $338.84 / $457.09	Professional		$295.12	$338.84	$457.09
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $295.12	Facility		$177.83	$177.83	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $331.13	Professional		$302.00	$302.00	$331.13