Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Facility		$41.69	$41.69	$41.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $38.02 / $48.98	Professional		$30.20	$38.02	$48.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $54.95 / $54.95	Facility		$36.31	$54.95	$54.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $54.95 / $57.54	Professional		$52.48	$54.95	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $19.05 / $69.18	Professional		$15.49	$19.05	$69.18
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $239.88 / $281.84	Facility		$41.69	$239.88	$281.84
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $48.98 / $125.89	Professional		$30.20	$48.98	$125.89
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $16.22 / $181.97	Professional		$15.49	$16.22	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $47.86 / $104.71	Facility		$30.90	$47.86	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $97.72 / $125.89	Professional		$43.65	$97.72	$125.89