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 $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 / $79.43	Professional		$75.86	$79.43	$79.43
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 $109.65 / $109.65 / $269.15	Facility		$109.65	$109.65	$269.15
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $114.82 / $154.88	Professional		$91.20	$114.82	$154.88
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $138.04	Professional		$67.61	$67.61	$138.04
United Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $114.82 / $138.04	Facility		$102.33	$114.82	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $69.18 / $114.82	Professional		$47.86	$69.18	$114.82