Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $478.63	Facility		$263.03	$263.03	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $223.87 / $309.03	Professional		$173.78	$223.87	$309.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $10.96 / $204.17	Facility		$10.96	$10.96	$204.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $204.17 / $204.17	Professional		$194.98	$204.17	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $416.87	Professional		$331.13	$331.13	$416.87
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $588.84	Facility		$263.03	$263.03	$588.84
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $263.03 / $354.81	Professional		$223.87	$263.03	$354.81
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Professional		$331.13	$331.13	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $275.42 / $295.12	Facility		$245.47	$275.42	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $147.91 / $245.47	Professional		$104.71	$147.91	$245.47