Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $407.38 / $812.83	Facility		$151.36	$407.38	$812.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $162.18	Professional		$151.36	$151.36	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $630.96	Professional		$141.25	$141.25	$630.96
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $39.81 / $89.13	Facility		$30.90	$39.81	$89.13
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $39.81 / $57.54	Professional		$30.90	$39.81	$57.54
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $537.03	Professional		$141.25	$141.25	$537.03