Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $371.54 / $416.87	Facility		$134.90	$371.54	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $138.04 / $169.82	Professional		$134.90	$138.04	$169.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $309.03 / $616.60	Facility		$165.96	$309.03	$616.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $141.25 / $141.25	Professional		$134.90	$141.25	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $371.54 / $478.63	Facility		$151.36	$371.54	$478.63
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $177.83 / $245.47	Professional		$134.90	$177.83	$245.47
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $147.91	Professional		$141.25	$141.25	$147.91