Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $562.34 / $630.96	Facility		$204.17	$562.34	$630.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $245.47	Professional		$194.98	$194.98	$245.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $436.52 / $870.96	Facility		$229.09	$436.52	$870.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $199.53 / $208.93	Professional		$190.55	$199.53	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $213.80	Professional		$194.98	$194.98	$213.80
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $512.86 / $630.96	Facility		$194.98	$512.86	$630.96
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $199.53 / $263.03	Professional		$194.98	$199.53	$263.03
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $213.80	Professional		$194.98	$194.98	$213.80
United Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $194.98	Facility		$190.55	$190.55	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $208.93 / $234.42	Professional		$190.55	$208.93	$234.42