Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $213.80	Facility		$114.82	$114.82	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $104.71 / $144.54	Professional		$81.28	$104.71	$144.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $138.04 / $239.88	Facility		$91.20	$138.04	$239.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $91.20 / $91.20	Professional		$87.10	$91.20	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $100.00 / $125.89	Professional		$87.10	$100.00	$125.89
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $380.19	Facility		$114.82	$114.82	$380.19
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $144.54 / $194.98	Professional		$100.00	$144.54	$194.98
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $100.00	Professional		$87.10	$87.10	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $123.03 / $147.91	Facility		$109.65	$123.03	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $91.20 / $151.36	Professional		$51.29	$91.20	$151.36