Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.44 / $45.44 / $45.44	Facility		$45.44	$45.44	$45.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.99 / $45.44 / $84.19	Professional		$31.99	$45.44	$84.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $291.16 / $291.16 / $291.16	Facility		$291.16	$291.16	$291.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $276.60 / $302.81 / $393.07	Professional		$276.60	$302.81	$393.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.39 / $33.39 / $40.01	Professional		$33.39	$33.39	$40.01
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $45.44 / $174.82 / $174.82	Facility		$45.44	$174.82	$174.82
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $45.44 / $174.82 / $181.39	Professional		$45.44	$174.82	$181.39
United Facility/Professional Facility Modifier Low / Median / High Price $264.45 / $264.45 / $264.45	Facility		$264.45	$264.45	$264.45
United Facility/Professional Professional Modifier Low / Median / High Price $105.22 / $129.97 / $194.95	Professional		$105.22	$129.97	$194.95