Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Facility		$30.90	$30.90	$30.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $37.15 / $54.95	Professional		$22.91	$37.15	$54.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $83.18 / $83.18	Facility		$54.95	$83.18	$83.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $83.18 / $83.18	Professional		$54.95	$83.18	$83.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $19.05 / $47.86	Professional		$15.49	$19.05	$47.86
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $239.88 / $281.84	Facility		$30.90	$239.88	$281.84
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $54.95 / $125.89	Professional		$30.20	$54.95	$125.89
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $16.22 / $112.20	Professional		$15.49	$16.22	$112.20
United Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $75.86 / $165.96	Facility		$46.77	$75.86	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $95.50 / $123.03	Professional		$39.81	$95.50	$123.03