Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $24.55 / $38.90	Facility		$12.59	$24.55	$38.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $15.49	Professional		$12.02	$12.02	$15.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $26.92 / $53.70	Facility		$14.45	$26.92	$53.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $12.30 / $12.30	Professional		$11.75	$12.30	$12.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Professional		$12.02	$12.02	$12.02
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $33.11 / $38.90	Facility		$12.02	$33.11	$38.90
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.59 / $16.60	Professional		$12.02	$12.59	$16.60
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Professional		$12.02	$12.02	$12.02
United Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Facility		$12.02	$12.02	$12.02
United Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $12.88	Professional		$12.02	$12.02	$12.88