Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $61.66 / $70.79	Professional		$44.67	$61.66	$70.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $147.91 / $147.91	Facility		$26.92	$147.91	$147.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $147.91 / $147.91	Professional		$138.04	$147.91	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $331.13	Professional		$112.20	$112.20	$331.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $169.82 / $199.53	Facility		$64.57	$169.82	$199.53
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $67.61 / $91.20	Professional		$53.70	$67.61	$91.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Professional		$331.13	$331.13	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $131.83 / $363.08	Facility		$123.03	$131.83	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $77.62 / $107.15	Professional		$63.10	$77.62	$107.15