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 / $398.11	Professional		$295.12	$302.00	$398.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $354.81 / $707.95	Facility		$190.55	$354.81	$707.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $47.86 / $47.86	Professional		$45.71	$47.86	$47.86
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 $295.12 / $812.83 / $1,047.13	Facility		$295.12	$812.83	$1,047.13
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $398.11 / $537.03	Professional		$295.12	$398.11	$537.03
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 $173.78 / $186.21 / $199.53	Facility		$173.78	$186.21	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $316.23	Professional		$295.12	$295.12	$316.23