Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $151.36 / $245.47	Facility		$77.62	$151.36	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $77.62 / $89.13	Professional		$75.86	$77.62	$89.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $169.82 / $338.84	Facility		$91.20	$169.82	$338.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $77.62 / $77.62	Professional		$74.13	$77.62	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $204.17 / $245.47	Facility		$81.28	$204.17	$245.47
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $81.28 / $104.71	Professional		$75.86	$81.28	$104.71
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $79.43 / $131.83	Facility		$75.86	$79.43	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $81.28	Professional		$75.86	$75.86	$81.28