Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Facility		$40.00	$40.00	$40.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $363.26 / $723.74 / $1,318.18	Facility		$363.26	$723.74	$1,318.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $228.00 / $240.00 / $324.00	Professional		$228.00	$240.00	$324.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.11 / $211.11 / $211.11	Professional		$211.11	$211.11	$211.11
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Facility		$40.00	$40.00	$40.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $189.99	Professional		$40.00	$40.00	$189.99
United Facility/Professional Professional Modifier Low / Median / High Price $1,009.05 / $1,009.05 / $1,009.05	Professional		$1,009.05	$1,009.05	$1,009.05