Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $177.83	Facility		$97.72	$97.72	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $91.20 / $151.36	Professional		$75.86	$91.20	$151.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $114.82 / $204.17	Facility		$77.62	$114.82	$204.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $77.62 / $77.62	Professional		$74.13	$77.62	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $117.49 / $147.91	Professional		$64.57	$117.49	$147.91
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $177.83	Facility		$97.72	$97.72	$177.83
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $123.03 / $181.97	Professional		$83.18	$123.03	$181.97
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $79.43 / $125.89	Professional		$58.88	$79.43	$125.89
United Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $102.33 / $102.33	Facility		$51.29	$102.33	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $83.18 / $89.13	Professional		$43.65	$83.18	$89.13