Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Facility		$47.86	$47.86	$47.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $123.03	Professional		$47.86	$47.86	$123.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Facility		$47.86	$47.86	$47.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $47.86 / $53.70	Professional		$45.71	$47.86	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $524.81 / $707.95	Professional		$309.03	$524.81	$707.95
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $123.03	Professional		$47.86	$47.86	$123.03
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $524.81 / $630.96	Professional		$269.15	$524.81	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $194.98 / $537.03	Professional		$93.33	$194.98	$537.03