Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $144.54 / $269.15	Facility		$131.83	$144.54	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $144.54 / $181.97	Professional		$114.82	$144.54	$181.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $173.78 / $302.00	Facility		$114.82	$173.78	$302.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $114.82 / $114.82	Professional		$109.65	$114.82	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $177.83 / $218.78	Professional		$89.13	$177.83	$218.78
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $144.54 / $269.15	Facility		$41.69	$144.54	$269.15
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $131.83 / $190.55	Professional		$20.42	$131.83	$190.55
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $154.88 / $177.83	Professional		$89.13	$154.88	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $154.88 / $154.88	Facility		$77.62	$154.88	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $91.20 / $97.72	Professional		$64.57	$91.20	$97.72