Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $24.55 / $87.10	Facility		$7.76	$24.55	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $16.98 / $87.10	Professional		$10.96	$16.98	$87.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $46.77 / $81.28	Facility		$30.20	$46.77	$81.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $28.18 / $28.18	Professional		$11.48	$28.18	$28.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $141.25	Facility		$138.04	$138.04	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $64.57 / $186.21	Professional		$15.14	$64.57	$186.21
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $24.55 / $208.93	Facility		$7.76	$24.55	$208.93
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $72.44 / $112.20	Professional		$15.14	$72.44	$112.20
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $141.25	Facility		$138.04	$138.04	$141.25
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $64.57 / $199.53	Professional		$15.14	$64.57	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $77.62 / $120.23	Professional		$15.49	$77.62	$120.23