Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $138.04	Facility		$75.86	$75.86	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $67.61 / $93.33	Professional		$52.48	$67.61	$93.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Facility		$54.95	$54.95	$54.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $54.95 / $54.95	Professional		$52.48	$54.95	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $109.65	Professional		$87.10	$87.10	$109.65
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $190.55	Facility		$75.86	$75.86	$190.55
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $79.43 / $107.15	Professional		$63.10	$79.43	$107.15
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
United Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $47.86 / $79.43	Professional		$33.11	$47.86	$79.43