Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Facility		$33.11	$33.11	$33.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $28.18 / $33.11	Professional		$18.20	$28.18	$33.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $107.15 / $204.17	Facility		$41.69	$107.15	$204.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $35.48 / $35.48	Professional		$33.88	$35.48	$35.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Professional		$28.84	$28.84	$28.84
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $69.18 / $81.28	Facility		$29.51	$69.18	$81.28
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $30.90 / $43.65	Professional		$27.54	$30.90	$43.65
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Professional		$28.84	$28.84	$28.84
United Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $36.31	Facility		$28.18	$28.18	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $27.54 / $44.67	Professional		$17.78	$27.54	$44.67