Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Facility		$28.84	$28.84	$28.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $37.15	Professional		$28.84	$28.84	$37.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $323.59 / $645.65	Facility		$120.23	$323.59	$645.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $120.23 / $125.89	Professional		$114.82	$120.23	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $870.96 / $870.96	Professional		$245.47	$870.96	$870.96
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Facility		$28.84	$28.84	$28.84
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $37.15	Professional		$28.84	$28.84	$37.15
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $870.96 / $870.96	Professional		$245.47	$870.96	$870.96