Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $112.20	Facility		$61.66	$61.66	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $53.70 / $75.86	Professional		$41.69	$53.70	$75.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $72.44 / $128.82	Facility		$47.86	$72.44	$128.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $47.86 / $47.86	Professional		$45.71	$47.86	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $74.13 / $91.20	Professional		$20.89	$74.13	$91.20
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $61.66 / $112.20	Facility		$60.26	$61.66	$112.20
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $53.70 / $77.62	Professional		$38.02	$53.70	$77.62
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.44 / $77.62	Professional		$19.05	$23.44	$77.62
United Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $64.57 / $64.57	Facility		$32.36	$64.57	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $24.55 / $40.74	Professional		$16.98	$24.55	$40.74