Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.50 / $135.50 / $211.38	Facility		$135.50	$135.50	$211.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.95 / $135.50 / $135.50	Professional		$121.95	$135.50	$135.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.02 / $95.02 / $100.02	Facility		$95.02	$95.02	$100.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.02 / $100.02 / $111.25	Professional		$95.02	$100.02	$111.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.87 / $217.34 / $320.92	Professional		$173.87	$217.34	$320.92
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $135.50 / $135.50 / $248.98	Facility		$135.50	$135.50	$248.98
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $135.50 / $136.91 / $171.16	Professional		$135.50	$136.91	$171.16
United Facility/Professional Professional Modifier Low / Median / High Price $59.90 / $85.58 / $142.63	Professional		$59.90	$85.58	$142.63