Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $57.54 / $281.84	Facility		$31.62	$57.54	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $30.90 / $42.66	Professional		$20.89	$30.90	$42.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $19.05 / $34.67	Facility		$13.18	$19.05	$34.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $13.18 / $13.18	Professional		$12.59	$13.18	$13.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $31.62 / $39.81	Professional		$13.18	$31.62	$39.81
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $57.54 / $275.42	Facility		$31.62	$57.54	$275.42
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.90 / $43.65	Professional		$22.91	$30.90	$43.65
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.14 / $31.62	Professional		$12.02	$15.14	$31.62
United Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $138.04 / $446.68	Facility		$13.18	$138.04	$446.68
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.14 / $23.99	Professional		$10.00	$15.14	$23.99