Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $218.78	Professional		$162.18	$162.18	$218.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $75.86 / $79.43	Professional		$72.44	$75.86	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $204.17	Professional		$162.18	$162.18	$204.17
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $363.08 / $977.24	Facility		$251.19	$363.08	$977.24
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $165.96 / $467.74	Professional		$138.04	$165.96	$467.74
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $181.97	Professional		$162.18	$162.18	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $446.68	Facility		$281.84	$281.84	$446.68
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $169.82 / $371.54	Professional		$125.89	$169.82	$371.54