Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $229.09 / $1,174.90	Facility		$30.20	$229.09	$1,174.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.84 / $36.31	Professional		$28.18	$28.84	$36.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $97.72 / $165.96	Facility		$63.10	$97.72	$165.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $63.10 / $63.10	Professional		$60.26	$63.10	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $151.36 / $954.99	Facility		$28.18	$151.36	$954.99
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.11 / $44.67	Professional		$28.18	$33.11	$44.67
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
United Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $36.31 / $48.98	Facility		$30.20	$36.31	$48.98
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $32.36	Professional		$30.20	$30.20	$32.36