Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Facility		$20.42	$20.42	$20.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $20.42 / $21.38	Professional		$19.05	$20.42	$21.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $42.66	Professional		$25.12	$25.12	$42.66
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $35.48	Professional		$25.12	$25.12	$35.48