Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $91.20	Facility		$89.13	$89.13	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $77.62 / $100.00	Professional		$64.57	$77.62	$100.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $173.78 / $354.81	Facility		$85.11	$173.78	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $54.95 / $63.10	Professional		$25.70	$54.95	$63.10
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $91.20 / $144.54	Facility		$50.12	$91.20	$144.54
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $67.61 / $91.20	Professional		$50.12	$67.61	$91.20
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $52.48 / $54.95	Professional		$6.61	$52.48	$54.95
United Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $77.62	Facility		$38.02	$38.02	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $51.29 / $79.43	Professional		$41.69	$51.29	$79.43