Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $251.19	Facility		$134.90	$134.90	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $120.23 / $169.82	Professional		$95.50	$120.23	$169.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $100.00 / $100.00	Professional		$95.50	$100.00	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $218.78	Professional		$173.78	$173.78	$218.78
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $338.84	Facility		$134.90	$134.90	$338.84
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $144.54 / $194.98	Professional		$114.82	$144.54	$194.98
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $141.25 / $169.82	Facility		$128.82	$141.25	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $85.11 / $141.25	Professional		$60.26	$85.11	$141.25