Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.28 / $42.28 / $63.42	Facility		$42.28	$42.28	$63.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $42.28 / $42.28	Professional		$42.28	$42.28	$42.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.29 / $49.72 / $81.68	Facility		$36.29	$49.72	$81.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.56 / $31.71 / $42.81	Professional		$21.56	$31.71	$42.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $48.57 / $60.71	Professional		$42.28	$48.57	$60.71
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $42.28 / $42.28 / $77.69	Facility		$42.28	$42.28	$77.69
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $42.28 / $52.85	Professional		$42.28	$42.28	$52.85
United Facility/Professional Professional Modifier Low / Median / High Price $17.73 / $23.18 / $28.04	Professional		$17.73	$23.18	$28.04