Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $100.00	Professional		$57.54	$57.54	$100.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $407.38 / $776.25	Facility		$158.49	$407.38	$776.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $125.89 / $131.83	Professional		$120.23	$125.89	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $181.97 / $489.78	Facility		$57.54	$181.97	$489.78
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $218.78	Professional		$57.54	$57.54	$218.78
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $398.11 / $1,230.27	Facility		$109.65	$398.11	$1,230.27
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $138.04	Professional		$81.28	$81.28	$138.04