Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $263.03	Facility		$141.25	$141.25	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $125.89 / $181.97	Professional		$100.00	$125.89	$181.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $104.71 / $104.71	Professional		$100.00	$104.71	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $165.96 / $208.93	Professional		$87.10	$165.96	$208.93
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $354.81	Facility		$141.25	$141.25	$354.81
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $151.36 / $204.17	Professional		$120.23	$151.36	$204.17
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $165.96	Professional		$87.10	$87.10	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $89.13 / $151.36	Professional		$63.10	$89.13	$151.36