Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.40 / $62.40 / $62.40	Facility		$62.40	$62.40	$62.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.46 / $60.24 / $64.91	Professional		$38.46	$60.24	$64.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.72 / $104.82 / $202.52	Facility		$52.72	$104.82	$202.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.13 / $36.61 / $43.59	Professional		$33.13	$36.61	$43.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.63 / $97.40 / $124.66	Professional		$88.63	$97.40	$124.66
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $62.40 / $67.65 / $67.65	Facility		$62.40	$67.65	$67.65
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $58.53 / $67.65 / $80.63	Professional		$58.53	$67.65	$80.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,906.00 / $4,645.00 / $6,740.00	Facility		$1,906.00	$4,645.00	$6,740.00
United Facility/Professional Professional Modifier Low / Median / High Price $45.39 / $54.32 / $76.80	Professional		$45.39	$54.32	$76.80