Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $69.18 / $91.20	Professional		$58.88	$69.18	$91.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Facility		$54.95	$54.95	$54.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $54.95 / $61.66	Professional		$52.48	$54.95	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $100.00 / $199.53	Professional		$54.95	$100.00	$199.53
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $79.43	Facility		$66.07	$66.07	$79.43
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $70.79 / $87.10	Professional		$58.88	$70.79	$87.10
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $93.33 / $251.19	Professional		$54.95	$93.33	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $79.43 / $107.15	Professional		$63.10	$79.43	$107.15