Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $37.15 / $37.15	Professional		$19.05	$37.15	$37.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $776.25 / $1,445.44	Facility		$398.11	$776.25	$1,445.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $239.88 / $257.04	Professional		$229.09	$239.88	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Professional		$19.50	$19.50	$19.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $37.15 / $37.15	Professional		$20.89	$37.15	$37.15
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Professional		$19.50	$19.50	$19.50