Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.64 / $73.81 / $230.29	Facility		$68.64	$73.81	$230.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $68.64 / $86.71	Professional		$66.64	$68.64	$86.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.97 / $194.51 / $367.95	Facility		$107.97	$194.51	$367.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.54 / $84.54 / $88.99	Professional		$84.54	$84.54	$88.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $66.64 / $86.53	Professional		$66.64	$66.64	$86.53
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $66.64 / $106.79 / $205.38	Facility		$66.64	$106.79	$205.38
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $68.64 / $86.86	Professional		$66.64	$68.64	$86.86
United Facility/Professional Facility Modifier Low / Median / High Price $66.64 / $66.64 / $66.64	Facility		$66.64	$66.64	$66.64
United Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $74.64 / $81.30	Professional		$66.64	$74.64	$81.30