Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Facility		$30.90	$30.90	$30.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.70 / $36.31	Professional		$19.05	$25.70	$36.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $112.20 / $223.87	Facility		$41.69	$112.20	$223.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $43.65	Professional		$41.69	$41.69	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $61.66	Professional		$16.98	$16.98	$61.66
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $30.90 / $83.18	Facility		$28.84	$30.90	$83.18
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $31.62 / $51.29	Professional		$23.99	$31.62	$51.29
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $51.29	Professional		$16.98	$16.98	$51.29
United Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Facility		$28.84	$28.84	$28.84
United Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $19.50 / $28.84	Professional		$13.80	$19.50	$28.84