Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $158.49	Facility		$87.10	$87.10	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $81.28 / $138.04	Professional		$67.61	$81.28	$138.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $102.33 / $181.97	Facility		$67.61	$102.33	$181.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $67.61 / $67.61	Professional		$64.57	$67.61	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $104.71 / $131.83	Professional		$63.10	$104.71	$131.83
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $158.49	Facility		$87.10	$87.10	$158.49
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $109.65 / $162.18	Professional		$74.13	$109.65	$162.18
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $70.79 / $112.20	Professional		$56.23	$70.79	$112.20
United Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $91.20 / $91.20	Facility		$45.71	$91.20	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $74.13 / $79.43	Professional		$38.02	$74.13	$79.43