Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $218.78	Facility		$19.05	$19.05	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $18.20 / $30.90	Professional		$15.14	$18.20	$30.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $22.39 / $39.81	Facility		$15.14	$22.39	$39.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $15.14 / $15.14	Professional		$14.45	$15.14	$15.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $24.55 / $79.43	Professional		$12.59	$24.55	$79.43
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $77.62	Facility		$19.05	$19.05	$77.62
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $23.99 / $35.48	Professional		$15.85	$23.99	$35.48
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $15.85 / $43.65	Professional		$12.59	$15.85	$43.65
United Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $19.95 / $19.95	Facility		$10.00	$19.95	$19.95
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $16.60 / $23.44	Professional		$8.51	$16.60	$23.44