Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.14 / $54.14 / $168.92	Facility		$54.14	$54.14	$168.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.14 / $54.14 / $54.14	Professional		$54.14	$54.14	$54.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.02 / $57.02 / $57.02	Facility		$57.02	$57.02	$57.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.17 / $57.02 / $57.02	Professional		$54.17	$57.02	$57.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.53 / $57.53 / $57.53	Professional		$57.53	$57.53	$57.53
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $54.14 / $67.68 / $150.65	Facility		$54.14	$67.68	$150.65
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $54.14 / $59.78 / $71.73	Professional		$54.14	$59.78	$71.73
United Facility/Professional Professional Modifier Low / Median / High Price $56.40 / $56.40 / $59.83	Professional		$56.40	$56.40	$59.83