Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Facility		$16.98	$16.98	$16.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $47.86	Professional		$16.98	$16.98	$47.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $724.44 / $1,380.38	Facility		$302.00	$724.44	$1,380.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $239.88 / $251.19	Professional		$223.87	$239.88	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Professional		$19.50	$19.50	$19.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Facility		$16.98	$16.98	$16.98
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $47.86	Professional		$16.98	$16.98	$47.86
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Professional		$19.50	$19.50	$19.50
United Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33