Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.85 / $63.85 / $99.61	Facility		$63.85	$63.85	$99.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.11 / $63.85 / $63.85	Professional		$55.11	$63.85	$63.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.55 / $76.03 / $133.53	Facility		$52.55	$76.03	$133.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.28 / $50.41 / $68.05	Professional		$34.28	$50.41	$68.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.81 / $77.23 / $102.21	Professional		$42.81	$77.23	$102.21
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $60.66 / $63.85 / $117.32	Facility		$60.66	$63.85	$117.32
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $63.85 / $80.65 / $100.22	Professional		$63.85	$80.65	$100.22
United Facility/Professional Professional Modifier Low / Median / High Price $28.23 / $55.02 / $74.27	Professional		$28.23	$55.02	$74.27