Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $169.82 / $758.58	Facility		$95.50	$169.82	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $104.71 / $125.89	Professional		$91.20	$104.71	$125.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $91.20 / $154.88	Facility		$63.10	$91.20	$154.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $57.54 / $57.54	Professional		$54.95	$57.54	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $181.97 / $758.58	Facility		$95.50	$181.97	$758.58
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $107.15 / $154.88	Professional		$100.00	$107.15	$154.88
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
United Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $107.15 / $186.21	Facility		$93.33	$107.15	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $114.82	Professional		$107.15	$107.15	$114.82