Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.22 / $34.22 / $306.00	Facility		$34.22	$34.22	$306.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.22 / $34.22 / $34.22	Professional		$22.22	$34.22	$34.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.84 / $101.08 / $195.30	Facility		$50.84	$101.08	$195.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.15 / $35.96 / $35.96	Professional		$34.15	$35.96	$35.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $22.30 / $27.01	Professional		$16.14	$22.30	$27.01
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $27.98 / $27.98 / $34.22	Facility		$27.98	$27.98	$34.22
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $27.98 / $31.49 / $42.14	Professional		$27.98	$31.49	$42.14
United Facility/Professional Professional Modifier Low / Median / High Price $17.94 / $27.01 / $33.76	Professional		$17.94	$27.01	$33.76