Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $104.71 / $245.47	Facility		$100.00	$104.71	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $89.13 / $169.82	Professional		$74.13	$89.13	$169.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $134.90 / $234.42	Facility		$89.13	$134.90	$234.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $46.77 / $50.12	Professional		$44.67	$46.77	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $123.03 / $204.17	Professional		$72.44	$123.03	$204.17
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $199.53 / $223.87	Facility		$100.00	$199.53	$223.87
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $100.00 / $165.96	Professional		$75.86	$100.00	$165.96
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $131.83 / $204.17	Professional		$79.43	$131.83	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $102.33	Facility		$64.57	$64.57	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $102.33 / $131.83	Professional		$89.13	$102.33	$131.83