Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.73 / $67.73 / $211.35	Facility		$67.73	$67.73	$211.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.73 / $67.73 / $67.73	Professional		$67.73	$67.73	$67.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.78 / $133.36 / $252.22	Facility		$76.78	$133.36	$252.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.70 / $60.25 / $71.98	Professional		$54.70	$60.25	$71.98
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $67.73 / $84.68 / $188.49	Facility		$67.73	$84.68	$188.49
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $67.73 / $84.68 / $101.61	Professional		$67.73	$84.68	$101.61
United Facility/Professional Professional Modifier Low / Median / High Price $70.56 / $70.56 / $91.88	Professional		$70.56	$70.56	$91.88