Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $28.18 / $33.88	Professional		$18.20	$28.18	$33.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $107.15 / $208.93	Facility		$41.69	$107.15	$208.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $36.31 / $36.31	Professional		$33.88	$36.31	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Professional		$16.22	$16.22	$16.22
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $69.18 / $83.18	Facility		$30.20	$69.18	$83.18
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $31.62 / $43.65	Professional		$28.18	$31.62	$43.65
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Professional		$16.22	$16.22	$16.22
United Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $36.31	Facility		$28.84	$28.84	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $28.18 / $45.71	Professional		$17.78	$28.18	$45.71