Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.14 / $19.05	Professional		$10.00	$15.14	$19.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $56.23 / $107.15	Facility		$21.88	$56.23	$107.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $19.95 / $19.95	Professional		$18.62	$19.95	$19.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Professional		$16.98	$16.98	$16.98
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $50.12 / $58.88	Facility		$19.05	$50.12	$58.88
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.95 / $28.18	Professional		$15.14	$19.95	$28.18
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Professional		$16.98	$16.98	$16.98
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $19.05 / $19.50	Facility		$15.14	$19.05	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $21.38 / $30.20	Professional		$10.23	$21.38	$30.20