Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $151.63 / $224.64	Facility		$25.00	$151.63	$224.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Professional		$25.00	$25.00	$25.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.27 / $60.31 / $109.85	Facility		$30.27	$60.31	$109.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $20.00 / $27.00	Professional		$19.00	$20.00	$27.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.65 / $14.40 / $38.44	Professional		$7.65	$14.40	$38.44
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $123.98 / $224.64	Facility		$6.17	$123.98	$224.64
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $7.58 / $25.00	Professional		$6.17	$7.58	$25.00
United Facility/Professional Professional Modifier Low / Median / High Price $43.87 / $43.87 / $43.87	Professional		$43.87	$43.87	$43.87