Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.05 / $75.05 / $117.08	Facility		$75.05	$75.05	$117.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.55 / $75.05 / $75.05	Professional		$67.55	$75.05	$75.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.40 / $55.40 / $55.40	Facility		$55.40	$55.40	$55.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.63 / $55.40 / $61.62	Professional		$52.63	$55.40	$61.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.38 / $109.23 / $177.75	Professional		$87.38	$109.23	$177.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $75.05 / $75.05 / $137.90	Facility		$75.05	$75.05	$137.90
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $75.05 / $75.84 / $94.80	Professional		$75.05	$75.84	$94.80
United Facility/Professional Professional Modifier Low / Median / High Price $33.18 / $47.40 / $102.70	Professional		$33.18	$47.40	$102.70