Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $79.43 / $91.20	Professional		$57.54	$79.43	$91.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $436.52 / $831.76	Facility		$169.82	$436.52	$831.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $134.90 / $141.25	Professional		$128.82	$134.90	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $107.15	Professional		$67.61	$67.61	$107.15
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $162.18 / $436.52	Facility		$79.43	$162.18	$436.52
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $199.53	Professional		$79.43	$79.43	$199.53
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Professional		$67.61	$67.61	$67.61
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $151.36 / $478.63	Facility		$114.82	$151.36	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $204.17	Professional		$93.33	$93.33	$204.17