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 $28.84 / $41.69 / $52.48	Professional		$28.84	$41.69	$52.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $181.97	Facility		$120.23	$120.23	$181.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $181.97 / $181.97	Professional		$114.82	$181.97	$181.97
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 $33.11 / $60.26 / $125.89	Professional		$33.11	$60.26	$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 $100.00 / $107.15 / $371.54	Facility		$100.00	$107.15	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $97.72 / $125.89	Professional		$43.65	$97.72	$125.89