Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $43.65	Facility		$23.99	$23.99	$43.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $21.88 / $36.31	Professional		$16.98	$21.88	$36.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $28.18 / $50.12	Facility		$19.05	$28.18	$50.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $19.05 / $19.05	Professional		$17.78	$19.05	$19.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $28.84 / $36.31	Professional		$16.60	$28.84	$36.31
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $23.99 / $43.65	Facility		$9.33	$23.99	$43.65
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $19.95 / $30.20	Professional		$3.24	$19.95	$30.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $18.62 / $30.90	Professional		$14.79	$18.62	$30.90
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $25.12 / $30.20	Facility		$15.14	$25.12	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $2.09 / $15.14	Professional		$1.48	$2.09	$15.14