Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $199.53 / $338.84	Professional		$162.18	$199.53	$338.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $616.60	Facility		$169.82	$169.82	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $234.42 / $676.08	Facility		$208.93	$234.42	$676.08
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $257.04 / $331.13	Professional		$213.80	$257.04	$331.13
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $245.47	Professional		$234.42	$234.42	$245.47