Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $165.96	Facility		$89.13	$89.13	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $87.10 / $194.98	Professional		$72.44	$87.10	$194.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $107.15 / $186.21	Facility		$70.79	$107.15	$186.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $70.79 / $70.79	Professional		$67.61	$70.79	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $75.86 / $204.17	Professional		$46.77	$75.86	$204.17
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $295.12	Facility		$89.13	$89.13	$295.12
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $117.49 / $165.96	Professional		$77.62	$117.49	$165.96
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $70.79 / $131.83	Professional		$46.77	$70.79	$131.83
United Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $95.50 / $114.82	Facility		$85.11	$95.50	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $75.86 / $123.03	Professional		$39.81	$75.86	$123.03