Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $3.02 / $3.02	Facility		$3.02	$3.02	$3.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $3.39	Professional		$3.02	$3.02	$3.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $208.93	Facility		$26.92	$26.92	$208.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $28.18	Professional		$26.92	$26.92	$28.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $39.81	Professional		$6.76	$6.76	$39.81
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $3.72 / $3.89 / $10.00	Facility		$3.72	$3.89	$10.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.72 / $5.01	Professional		$3.02	$3.72	$5.01
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $33.11	Professional		$6.76	$6.76	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Facility		$19.95	$19.95	$19.95
United Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $14.13 / $23.44	Professional		$8.91	$14.13	$23.44