Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $52.48	Facility		$20.89	$20.89	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $22.39	Professional		$20.89	$20.89	$22.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $29.51 / $50.12	Facility		$20.42	$29.51	$50.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $18.62 / $18.62	Professional		$17.78	$18.62	$18.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $64.57 / $75.86	Facility		$20.89	$64.57	$75.86
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $26.30 / $35.48	Professional		$20.89	$26.30	$35.48
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $467.74 / $467.74	Facility		$338.84	$467.74	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $138.04 / $257.04	Professional		$114.82	$138.04	$257.04