Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.81 / $73.81 / $73.81	Facility		$73.81	$73.81	$73.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.81 / $73.81 / $84.15	Professional		$73.81	$73.81	$84.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.56 / $141.52 / $267.72	Facility		$76.56	$141.52	$267.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.51 / $64.75 / $64.75	Professional		$61.51	$64.75	$64.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.52 / $72.52 / $72.52	Professional		$72.52	$72.52	$72.52
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $73.81 / $73.81 / $110.73	Facility		$73.81	$73.81	$110.73
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $73.81 / $73.81 / $88.58	Professional		$73.81	$73.81	$88.58
United Facility/Professional Professional Modifier Low / Median / High Price $73.81 / $83.42 / $88.58	Professional		$73.81	$83.42	$88.58