Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.86 / $122.86 / $191.66	Facility		$122.86	$122.86	$191.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.05 / $122.86 / $122.86	Professional		$106.05	$122.86	$122.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.11 / $144.97 / $256.94	Facility		$101.11	$144.97	$256.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.95 / $97.00 / $130.94	Professional		$65.95	$97.00	$130.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.71 / $148.68 / $185.85	Professional		$55.71	$148.68	$185.85
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $103.81 / $122.86 / $225.76	Facility		$103.81	$122.86	$225.76
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $103.81 / $122.86 / $155.19	Professional		$103.81	$122.86	$155.19
United Facility/Professional Professional Modifier Low / Median / High Price $47.80 / $64.31 / $82.77	Professional		$47.80	$64.31	$82.77