Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $1,047.13	Facility		$562.34	$562.34	$1,047.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $512.86 / $724.44	Professional		$398.11	$512.86	$724.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $416.87 / $416.87	Professional		$398.11	$416.87	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $724.44 / $912.01	Professional		$346.74	$724.44	$912.01
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $1,412.54	Facility		$562.34	$562.34	$1,412.54
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $602.56 / $812.83	Professional		$478.63	$602.56	$812.83
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $724.44	Professional		$346.74	$346.74	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $602.56 / $724.44	Facility		$537.03	$602.56	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $354.81 / $602.56	Professional		$251.19	$354.81	$602.56