Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $54.95 / $66.07	Professional		$34.67	$54.95	$66.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $208.93 / $398.11	Facility		$81.28	$208.93	$398.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $69.18 / $69.18	Professional		$66.07	$69.18	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $134.90 / $158.49	Facility		$57.54	$134.90	$158.49
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $60.26 / $85.11	Professional		$53.70	$60.26	$85.11
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54
United Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $70.79	Facility		$56.23	$56.23	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $54.95 / $87.10	Professional		$34.67	$54.95	$87.10