Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Facility		$53.70	$53.70	$53.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $53.70 / $63.10	Professional		$34.67	$53.70	$63.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $85.11 / $89.13	Professional		$81.28	$85.11	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $263.03	Professional		$89.13	$89.13	$263.03
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $53.70 / $60.26	Facility		$20.42	$53.70	$60.26
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $34.67 / $57.54	Professional		$20.42	$34.67	$57.54
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $77.62 / $269.15	Facility		$72.44	$77.62	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $63.10 / $89.13	Professional		$51.29	$63.10	$89.13