Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $870.96	Facility		$478.63	$478.63	$870.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $426.58 / $602.56	Professional		$338.84	$426.58	$602.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $562.34 / $1,000.00	Facility		$380.19	$562.34	$1,000.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $380.19 / $380.19	Professional		$354.81	$380.19	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $562.34 / $691.83	Professional		$524.81	$562.34	$691.83
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $1,174.90	Facility		$478.63	$478.63	$1,174.90
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $478.63 / $676.08	Professional		$398.11	$478.63	$676.08
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $562.34	Professional		$524.81	$524.81	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $501.19 / $501.19	Facility		$251.19	$501.19	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $302.00 / $323.59	Professional		$213.80	$302.00	$323.59