Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $91.20	Facility		$72.44	$72.44	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $89.13 / $281.84	Professional		$81.28	$89.13	$281.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $13.49 / $13.49	Facility		$10.96	$13.49	$13.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $13.49 / $13.49	Professional		$12.88	$13.49	$13.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $131.83	Professional		$104.71	$104.71	$131.83
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $194.98 / $234.42	Facility		$69.18	$194.98	$234.42
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $89.13 / $123.03	Professional		$79.43	$89.13	$123.03
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $87.10 / $165.96	Facility		$50.12	$87.10	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Professional		$26.92	$26.92	$26.92