Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.33 / $33.33 / $103.99	Facility		$33.33	$33.33	$103.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.33 / $33.33 / $33.33	Professional		$33.33	$33.33	$33.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.69 / $78.70 / $148.88	Facility		$43.69	$78.70	$148.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.27 / $31.86 / $31.86	Professional		$30.27	$31.86	$31.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $35.40 / $35.97	Professional		$5.89	$35.40	$35.97
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $33.33 / $46.92 / $92.74	Facility		$33.33	$46.92	$92.74
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $33.33 / $36.79 / $44.16	Professional		$33.33	$36.79	$44.16
United Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $34.72 / $36.83	Professional		$34.72	$34.72	$36.83