Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $66.07 / $81.28	Professional		$56.23	$66.07	$81.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $109.65 / $114.82	Professional		$104.71	$109.65	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $123.03	Professional		$66.07	$66.07	$123.03
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $199.53 / $234.42	Facility		$75.86	$199.53	$234.42
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $75.86 / $100.00	Professional		$57.54	$75.86	$100.00
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $123.03	Professional		$66.07	$66.07	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $89.13 / $109.65	Professional		$74.13	$89.13	$109.65