Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $186.21	Facility		$102.33	$102.33	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $89.13 / $128.82	Professional		$70.79	$89.13	$128.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $75.86 / $75.86	Professional		$70.79	$75.86	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $131.83 / $162.18	Professional		$63.10	$131.83	$162.18
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $257.04	Facility		$102.33	$102.33	$257.04
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $107.15 / $144.54	Professional		$85.11	$107.15	$144.54
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $131.83	Professional		$63.10	$63.10	$131.83
United Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $107.15 / $128.82	Facility		$95.50	$107.15	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $64.57 / $107.15	Professional		$44.67	$64.57	$107.15