Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Facility		$58.88	$58.88	$58.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $74.13	Professional		$58.88	$58.88	$74.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $91.20	Facility		$25.12	$25.12	$91.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.91 / $25.12 / $25.12	Professional		$1.91	$25.12	$25.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $524.81 / $524.81	Professional		$158.49	$524.81	$524.81
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $524.81 / $524.81	Professional		$125.89	$524.81	$524.81