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 $79.43 / $83.18 / $100.00	Professional		$79.43	$83.18	$100.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $97.72 / $102.33	Professional		$93.33	$97.72	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $102.33	Professional		$85.11	$85.11	$102.33
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $100.00 / $275.42	Facility		$91.20	$100.00	$275.42
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $100.00 / $147.91	Professional		$79.43	$100.00	$147.91
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $97.72	Professional		$85.11	$85.11	$97.72
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $223.87	Facility		$138.04	$138.04	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $138.04 / $138.04	Professional		$125.89	$138.04	$138.04