Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $275.42	Facility		$147.91	$147.91	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $131.83 / $186.21	Professional		$104.71	$131.83	$186.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $109.65 / $109.65	Professional		$104.71	$109.65	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $239.88	Professional		$190.55	$190.55	$239.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $371.54	Facility		$147.91	$147.91	$371.54
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $158.49 / $213.80	Professional		$128.82	$158.49	$213.80
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
United Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $158.49 / $186.21	Facility		$141.25	$158.49	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $93.33 / $158.49	Professional		$66.07	$93.33	$158.49