Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Facility		$19.95	$19.95	$19.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $16.98 / $22.91	Professional		$12.02	$16.98	$22.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $72.44 / $144.54	Facility		$26.92	$72.44	$144.54
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 $10.96 / $12.02 / $33.11	Professional		$10.96	$12.02	$33.11
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $22.39 / $56.23	Facility		$19.50	$22.39	$56.23
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $21.38 / $33.11	Professional		$15.14	$21.38	$33.11
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.02 / $30.90	Professional		$10.96	$12.02	$30.90
United Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Facility		$16.22	$16.22	$16.22
United Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.59 / $19.05	Professional		$8.91	$12.59	$19.05