Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $229.09 / $257.04	Facility		$83.18	$229.09	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $85.11 / $104.71	Professional		$83.18	$85.11	$104.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $181.97 / $371.54	Facility		$89.13	$181.97	$371.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $85.11 / $85.11	Professional		$81.28	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $229.09 / $288.40	Facility		$83.18	$229.09	$288.40
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $109.65 / $151.36	Professional		$83.18	$109.65	$151.36
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
United Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $91.20	Professional		$87.10	$87.10	$91.20