Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $223.87	Facility		$123.03	$123.03	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $120.23 / $213.80	Professional		$95.50	$120.23	$213.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $144.54 / $257.04	Facility		$95.50	$144.54	$257.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $95.50 / $95.50	Professional		$91.20	$95.50	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $128.82 / $281.84	Professional		$81.28	$128.82	$281.84
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $223.87	Facility		$123.03	$123.03	$223.87
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $169.82 / $257.04	Professional		$104.71	$169.82	$257.04
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $100.00 / $186.21	Professional		$66.07	$100.00	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $128.82 / $154.88	Facility		$114.82	$128.82	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $104.71 / $165.96	Professional		$53.70	$104.71	$165.96