Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Facility		$67.61	$67.61	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $74.13	Professional		$67.61	$67.61	$74.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $141.25 / $288.40	Facility		$69.18	$141.25	$288.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $66.07 / $66.07	Professional		$63.10	$66.07	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $75.86 / $204.17	Facility		$67.61	$75.86	$204.17
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $70.79 / $95.50	Professional		$67.61	$70.79	$95.50
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Facility		$27.54	$27.54	$27.54
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $79.43 / $81.28	Professional		$66.07	$79.43	$81.28