Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Facility		$30.90	$30.90	$30.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $794.33 / $1,479.11	Facility		$389.05	$794.33	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.79 / $0.79 / $0.79	Professional		$0.79	$0.79	$0.79
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $91.20 / $102.33	Facility		$30.90	$91.20	$102.33
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $42.66 / $56.23	Professional		$34.67	$42.66	$56.23
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $0.79 / $0.79 / $0.79	Professional		$0.79	$0.79	$0.79
United Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Facility		$53.70	$53.70	$53.70