Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $141.25	Facility		$75.86	$75.86	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $67.61 / $95.50	Professional		$33.88	$67.61	$95.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $91.20 / $158.49	Facility		$60.26	$91.20	$158.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $60.26 / $60.26	Professional		$57.54	$60.26	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $93.33 / $114.82	Professional		$6.03	$93.33	$114.82
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $75.86 / $141.25	Facility		$33.11	$75.86	$141.25
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $64.57 / $95.50	Professional		$11.48	$64.57	$95.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $6.92 / $97.72	Professional		$5.50	$6.92	$97.72
United Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $81.28 / $81.28	Facility		$28.18	$81.28	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $7.24 / $47.86	Professional		$5.25	$7.24	$47.86