Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $52.48 / $64.57	Professional		$26.92	$52.48	$64.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $79.43 / $89.13	Professional		$75.86	$79.43	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $117.49	Professional		$28.84	$28.84	$117.49
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $57.54 / $75.86	Professional		$41.69	$57.54	$75.86
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $97.72	Professional		$28.84	$28.84	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $36.31 / $51.29	Professional		$23.44	$36.31	$51.29