Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $66.07	Facility		$61.66	$61.66	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $57.54 / $69.18	Professional		$47.86	$57.54	$69.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $70.79	Professional		$63.10	$63.10	$70.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $81.28	Professional		$56.23	$56.23	$81.28
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $66.07 / $169.82	Facility		$61.66	$66.07	$169.82
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $60.26 / $77.62	Professional		$48.98	$60.26	$77.62
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $74.13	Professional		$56.23	$56.23	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $58.88 / $72.44	Facility		$52.48	$58.88	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $69.18 / $100.00	Professional		$56.23	$69.18	$100.00