Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $158.49	Facility		$87.10	$87.10	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $79.43 / $109.65	Professional		$61.66	$79.43	$109.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $69.18 / $77.62	Facility		$10.96	$69.18	$77.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $69.18 / $69.18	Professional		$64.57	$69.18	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $112.20 / $138.04	Professional		$60.26	$112.20	$138.04
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $263.03	Facility		$87.10	$87.10	$263.03
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $107.15 / $141.25	Professional		$75.86	$107.15	$141.25
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $112.20	Professional		$60.26	$60.26	$112.20
United Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $91.20 / $109.65	Facility		$83.18	$91.20	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $67.61 / $112.20	Professional		$38.90	$67.61	$112.20