Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $77.62	Facility		$41.69	$41.69	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $51.29	Professional		$41.69	$41.69	$51.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $57.54 / $102.33	Facility		$38.90	$57.54	$102.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $38.90 / $38.90	Professional		$36.31	$38.90	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $58.88 / $74.13	Professional		$41.69	$58.88	$74.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $77.62	Facility		$41.69	$41.69	$77.62
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $51.29 / $69.18	Professional		$41.69	$51.29	$69.18
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $58.88	Professional		$41.69	$41.69	$58.88
United Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $50.12 / $51.29	Facility		$25.70	$50.12	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $23.44 / $28.18	Professional		$17.78	$23.44	$28.18