Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.16 / $67.16 / $67.16	Facility		$67.16	$67.16	$67.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.15 / $67.16 / $74.64	Professional		$67.15	$67.16	$74.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.19 / $144.44 / $273.26	Facility		$80.19	$144.44	$273.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.79 / $62.79 / $66.09	Professional		$62.79	$62.79	$66.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $74.02 / $74.02	Professional		$16.48	$74.02	$74.02
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $67.16 / $70.06 / $75.31	Facility		$67.16	$70.06	$75.31
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $67.16 / $70.06 / $84.07	Professional		$67.16	$70.06	$84.07
United Facility/Professional Professional Modifier Low / Median / High Price $66.09 / $79.01 / $84.13	Professional		$66.09	$79.01	$84.13