Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.22 / $66.22 / $107.00	Facility		$66.22	$66.22	$107.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.99 / $66.22 / $66.22	Professional		$42.99	$66.22	$66.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.36 / $195.55 / $377.83	Facility		$98.36	$195.55	$377.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.09 / $69.56 / $69.56	Professional		$66.09	$69.56	$69.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.34 / $52.26 / $56.91	Professional		$43.34	$52.26	$56.91
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $54.14 / $54.14 / $66.22	Facility		$54.14	$54.14	$66.22
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $54.14 / $60.92 / $81.52	Professional		$54.14	$60.92	$81.52
United Facility/Professional Professional Modifier Low / Median / High Price $34.70 / $53.70 / $86.76	Professional		$34.70	$53.70	$86.76