Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.95 / $81.28 / $165.20	Facility		$52.95	$81.28	$165.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.95 / $79.70 / $108.38	Professional		$52.95	$79.70	$108.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.55 / $175.73 / $332.43	Facility		$97.55	$175.73	$332.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.38 / $80.40 / $80.40	Professional		$76.38	$80.40	$80.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $78.92 / $78.92	Professional		$78.92	$78.92	$78.92
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $66.19 / $103.25 / $147.33	Facility		$66.19	$103.25	$147.33
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $52.95 / $78.92 / $94.70	Professional		$52.95	$78.92	$94.70
United Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $87.85 / $101.03	Professional		$78.92	$87.85	$101.03