Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $131.83	Facility		$72.44	$72.44	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $89.13	Professional		$50.12	$64.57	$89.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $52.48 / $52.48	Professional		$50.12	$52.48	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $75.86 / $165.96	Professional		$13.80	$75.86	$165.96
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $72.44 / $131.83	Facility		$64.57	$72.44	$131.83
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $57.54 / $91.20	Professional		$22.39	$57.54	$91.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $27.54 / $91.20	Professional		$13.80	$27.54	$91.20
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $75.86 / $75.86	Facility		$36.31	$75.86	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $18.20 / $45.71	Professional		$12.59	$18.20	$45.71