Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $77.62	Facility		$41.69	$41.69	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $37.15 / $66.07	Facility		$25.12	$37.15	$66.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $25.12 / $25.12	Professional		$23.99	$25.12	$25.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $58.88 / $74.13	Professional		$41.69	$58.88	$74.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $104.71	Facility		$41.69	$41.69	$104.71
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $64.57	Professional		$41.69	$41.69	$64.57
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $58.88	Professional		$41.69	$41.69	$58.88
United Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $46.77 / $51.29	Facility		$30.90	$46.77	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $23.44 / $28.18	Professional		$17.78	$23.44	$28.18