Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $63.90 / $199.37	Facility		$63.90	$63.90	$199.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.90 / $63.90 / $63.90	Professional		$63.90	$63.90	$63.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.38 / $150.19 / $284.14	Facility		$83.38	$150.19	$284.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.93 / $67.29 / $67.29	Professional		$63.93	$67.29	$67.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.25 / $67.89 / $67.89	Professional		$25.25	$67.89	$67.89
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $79.88 / $177.80	Facility		$63.90	$79.88	$177.80
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $63.90 / $70.55 / $84.66	Professional		$63.90	$70.55	$84.66
United Facility/Professional Professional Modifier Low / Median / High Price $66.56 / $66.56 / $70.62	Professional		$66.56	$66.56	$70.62