Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $281.84 / $371.54	Facility		$120.23	$281.84	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $562.34 / $1,122.02	Professional		$79.43	$562.34	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $33.88 / $199.53	Professional		$31.62	$33.88	$199.53
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $281.84 / $2,570.40	Facility		$120.23	$281.84	$2,570.40
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $933.25 / $1,258.93	Professional		$120.23	$933.25	$1,258.93
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $33.88 / $199.53	Professional		$31.62	$33.88	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $977.24 / $1,230.27	Facility		$194.98	$977.24	$1,230.27
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $1,000.00 / $1,513.56	Professional		$457.09	$1,000.00	$1,513.56