Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $489.78	Facility		$269.15	$269.15	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $239.88 / $338.84	Professional		$190.55	$239.88	$338.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $199.53 / $199.53	Professional		$190.55	$199.53	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $426.58	Professional		$346.74	$346.74	$426.58
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $676.08	Facility		$269.15	$269.15	$676.08
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $281.84 / $380.19	Professional		$229.09	$281.84	$380.19
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $281.84 / $338.84	Facility		$257.04	$281.84	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $169.82 / $281.84	Professional		$117.49	$169.82	$281.84