Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.78 / $50.78 / $158.43	Facility		$50.78	$50.78	$158.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.78 / $50.78 / $50.78	Professional		$50.78	$50.78	$50.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.84 / $178.41 / $348.60	Facility		$92.84	$178.41	$348.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.25 / $53.95 / $53.95	Professional		$51.25	$53.95	$53.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.95 / $53.95 / $53.95	Professional		$53.95	$53.95	$53.95
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $50.78 / $63.48 / $141.30	Facility		$50.78	$63.48	$141.30
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $50.78 / $53.95 / $64.73	Professional		$50.78	$53.95	$64.73
United Facility/Professional Professional Modifier Low / Median / High Price $52.89 / $52.89 / $56.11	Professional		$52.89	$52.89	$56.11