Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $602.56 / $676.08	Facility		$218.78	$602.56	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $257.04	Professional		$208.93	$208.93	$257.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $467.74 / $933.25	Facility		$251.19	$467.74	$933.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $213.80 / $223.87	Professional		$204.17	$213.80	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $229.09	Professional		$208.93	$208.93	$229.09
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $549.54 / $676.08	Facility		$208.93	$549.54	$676.08
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $213.80 / $275.42	Professional		$208.93	$213.80	$275.42
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $229.09	Professional		$208.93	$208.93	$229.09
United Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $208.93 / $208.93	Facility		$204.17	$208.93	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $223.87 / $251.19	Professional		$204.17	$223.87	$251.19