Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.82 / $34.82 / $108.64	Facility		$34.82	$34.82	$108.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.82 / $34.82 / $34.82	Professional		$34.82	$34.82	$34.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.33 / $88.87 / $168.12	Facility		$49.33	$88.87	$168.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.63 / $40.65 / $40.65	Professional		$38.63	$40.65	$40.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.71 / $40.71 / $40.71	Professional		$40.71	$40.71	$40.71
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $34.82 / $47.89 / $96.89	Facility		$34.82	$47.89	$96.89
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $34.82 / $42.29 / $50.74	Professional		$34.82	$42.29	$50.74
United Facility/Professional Professional Modifier Low / Median / High Price $39.90 / $39.90 / $40.70	Professional		$39.90	$39.90	$40.70