Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $79.43 / $128.82	Facility		$41.69	$79.43	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $53.70	Professional		$39.81	$39.81	$53.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $89.13 / $177.83	Facility		$46.77	$89.13	$177.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $25.12 / $26.30	Professional		$23.44	$25.12	$26.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $46.77	Professional		$39.81	$39.81	$46.77
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $100.00 / $128.82	Facility		$39.81	$100.00	$128.82
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $40.74 / $53.70	Professional		$39.81	$40.74	$53.70
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $46.77	Professional		$39.81	$39.81	$46.77
United Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $43.65 / $162.18	Facility		$39.81	$43.65	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $43.65 / $50.12	Professional		$39.81	$43.65	$50.12