Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $194.98	Facility		$107.15	$107.15	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $95.50 / $138.04	Professional		$75.86	$95.50	$138.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $79.43 / $79.43	Professional		$74.13	$79.43	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $138.04 / $169.82	Professional		$128.82	$138.04	$169.82
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $269.15	Facility		$107.15	$107.15	$269.15
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $112.20 / $151.36	Professional		$91.20	$112.20	$151.36
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $138.04	Professional		$128.82	$128.82	$138.04
United Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $112.20 / $112.20	Facility		$56.23	$112.20	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $67.61 / $72.44	Professional		$46.77	$67.61	$72.44