Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $54.95	Facility		$29.51	$29.51	$54.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.70 / $38.90	Professional		$19.95	$25.70	$38.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $34.67 / $61.66	Facility		$23.44	$34.67	$61.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $23.44 / $23.44	Professional		$22.39	$23.44	$23.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Facility		$15.49	$15.49	$15.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $25.70 / $123.03	Professional		$12.59	$25.70	$123.03
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $54.95	Facility		$29.51	$29.51	$54.95
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $29.51 / $41.69	Professional		$23.99	$29.51	$41.69
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Facility		$15.49	$15.49	$15.49
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $15.49 / $43.65	Professional		$12.59	$15.49	$43.65
United Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $30.90 / $33.88	Facility		$28.18	$30.90	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $16.98 / $28.18	Professional		$12.30	$16.98	$28.18