Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.90 / $42.90 / $42.90	Facility		$42.90	$42.90	$42.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.90 / $42.90 / $47.19	Professional		$42.90	$42.90	$47.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.99 / $93.66 / $177.17	Facility		$51.99	$93.66	$177.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.71 / $40.71 / $42.85	Professional		$40.71	$40.71	$42.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.77 / $47.11 / $47.95	Professional		$44.77	$47.11	$47.95
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $42.90 / $50.47 / $50.47	Facility		$42.90	$50.47	$50.47
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $42.90 / $50.47 / $60.56	Professional		$42.90	$50.47	$60.56
United Facility/Professional Professional Modifier Low / Median / High Price $50.47 / $59.55 / $62.40	Professional		$50.47	$59.55	$62.40