Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $234.42	Facility		$128.82	$128.82	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $114.82 / $158.49	Professional		$89.13	$114.82	$158.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $93.33 / $93.33	Professional		$89.13	$93.33	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $204.17	Professional		$162.18	$162.18	$204.17
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $323.59	Facility		$128.82	$128.82	$323.59
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $134.90 / $181.97	Professional		$107.15	$134.90	$181.97
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $134.90 / $162.18	Facility		$120.23	$134.90	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $81.28 / $134.90	Professional		$56.23	$81.28	$134.90