Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $128.82 / $239.88	Facility		$120.23	$128.82	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $114.82 / $162.18	Professional		$97.72	$114.82	$162.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $95.50 / $95.50	Professional		$91.20	$95.50	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $154.88 / $194.98	Professional		$95.50	$154.88	$194.98
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $128.82 / $239.88	Facility		$123.03	$128.82	$239.88
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $162.18 / $239.88	Professional		$109.65	$162.18	$239.88
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $107.15 / $165.96	Professional		$87.10	$107.15	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $134.90 / $134.90	Facility		$67.61	$134.90	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $58.88 / $114.82	Professional		$40.74	$58.88	$114.82