Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $199.53	Facility		$109.65	$109.65	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $97.72 / $138.04	Professional		$75.86	$97.72	$138.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $128.82 / $229.09	Facility		$85.11	$128.82	$229.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $85.11 / $85.11	Professional		$81.28	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $138.04 / $173.78	Professional		$67.61	$138.04	$173.78
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $109.65 / $269.15	Facility		$107.15	$109.65	$269.15
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $112.20 / $151.36	Professional		$91.20	$112.20	$151.36
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $131.83 / $138.04	Professional		$67.61	$131.83	$138.04
United Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $114.82 / $114.82	Facility		$57.54	$114.82	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $69.18 / $72.44	Professional		$47.86	$69.18	$72.44