Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.57 / $29.57 / $29.57	Facility		$29.57	$29.57	$29.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.60 / $29.57 / $30.47	Professional		$27.60	$29.57	$30.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $163.87 / $163.87 / $163.87	Facility		$163.87	$163.87	$163.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.68 / $163.87 / $163.87	Professional		$155.68	$163.87	$163.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.94 / $34.94 / $40.97	Professional		$34.94	$34.94	$40.97
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $29.57 / $33.32 / $33.32	Facility		$29.57	$33.32	$33.32
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $29.57 / $33.32 / $62.12	Professional		$29.57	$33.32	$62.12
United Facility/Professional Professional Modifier Low / Median / High Price $19.71 / $24.76 / $40.97	Professional		$19.71	$24.76	$40.97