Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $79.43 / $79.43	Facility		$67.61	$79.43	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $72.44 / $104.71	Professional		$58.88	$72.44	$104.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $151.36 / $263.03	Facility		$100.00	$151.36	$263.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $107.15 / $107.15	Professional		$93.33	$107.15	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $128.82 / $204.17	Professional		$66.07	$128.82	$204.17
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $186.21 / $831.76	Facility		$75.86	$186.21	$831.76
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $79.43 / $120.23	Professional		$67.61	$79.43	$120.23
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $100.00 / $204.17	Professional		$63.10	$100.00	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $380.19 / $1,122.02	Facility		$85.11	$380.19	$1,122.02
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $87.10 / $112.20	Professional		$72.44	$87.10	$112.20