Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $104.71 / $213.80	Facility		$50.12	$104.71	$213.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $50.12 / $50.12	Professional		$47.86	$50.12	$50.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Facility		$40.74	$40.74	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $40.74	Professional		$31.62	$31.62	$40.74
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $93.33 / $104.71	Facility		$38.02	$93.33	$104.71
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $39.81 / $50.12	Professional		$35.48	$39.81	$50.12
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Facility		$40.74	$40.74	$40.74
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $40.74 / $40.74	Professional		$31.62	$40.74	$40.74
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $39.81 / $102.33	Facility		$36.31	$39.81	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $36.31 / $50.12	Professional		$30.90	$36.31	$50.12